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Giant juvenile nasopharyngeal angiofibroma: management by skull-base surgery.
Arch Otolaryngol Head Neck Surg. 2004 Jul; 130(7):882-6.AO

Abstract

From 1977 to 2001, 5 patients were seen with giant angiofibromas that had intracranial penetration. Three of these had involvement of the cavernous sinus with angiographic evidence of significant blood supply to the tumor. We attempted complete tumor removal in all patients via a skull-base procedure. The infratemporal fossa/middle fossa approach was used in 3 patients, an anterior craniofacial approach in 1, and an anterior subcranial approach in 1. Complete tumor removal was achieved in 4 patients and incomplete excision in 1. The latter was attempted with an anterior subcranial approach but required an infratemporal fossa/middle fossa approach for completion because of unanticipated cavernous sinus involvement. The patient declined further surgery. This was the only patient who had persistent disease. Preoperative and intraoperative management, blood loss, complications, and residual effects are described.

Authors+Show Affiliations

Department of Otolaryngology-Head and Neck Surgery, University of California Davis, Sacramento 95817, USA. mary.mccarthy@ucdmc.ucdavis.eduNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15262767

Citation

Donald, Paul J., et al. "Giant Juvenile Nasopharyngeal Angiofibroma: Management By Skull-base Surgery." Archives of Otolaryngology--head & Neck Surgery, vol. 130, no. 7, 2004, pp. 882-6.
Donald PJ, Enepikedes D, Boggan J. Giant juvenile nasopharyngeal angiofibroma: management by skull-base surgery. Arch Otolaryngol Head Neck Surg. 2004;130(7):882-6.
Donald, P. J., Enepikedes, D., & Boggan, J. (2004). Giant juvenile nasopharyngeal angiofibroma: management by skull-base surgery. Archives of Otolaryngology--head & Neck Surgery, 130(7), 882-6.
Donald PJ, Enepikedes D, Boggan J. Giant Juvenile Nasopharyngeal Angiofibroma: Management By Skull-base Surgery. Arch Otolaryngol Head Neck Surg. 2004;130(7):882-6. PubMed PMID: 15262767.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Giant juvenile nasopharyngeal angiofibroma: management by skull-base surgery. AU - Donald,Paul J, AU - Enepikedes,Danny, AU - Boggan,James, PY - 2004/7/21/pubmed PY - 2004/7/31/medline PY - 2004/7/21/entrez SP - 882 EP - 6 JF - Archives of otolaryngology--head & neck surgery JO - Arch. Otolaryngol. Head Neck Surg. VL - 130 IS - 7 N2 - From 1977 to 2001, 5 patients were seen with giant angiofibromas that had intracranial penetration. Three of these had involvement of the cavernous sinus with angiographic evidence of significant blood supply to the tumor. We attempted complete tumor removal in all patients via a skull-base procedure. The infratemporal fossa/middle fossa approach was used in 3 patients, an anterior craniofacial approach in 1, and an anterior subcranial approach in 1. Complete tumor removal was achieved in 4 patients and incomplete excision in 1. The latter was attempted with an anterior subcranial approach but required an infratemporal fossa/middle fossa approach for completion because of unanticipated cavernous sinus involvement. The patient declined further surgery. This was the only patient who had persistent disease. Preoperative and intraoperative management, blood loss, complications, and residual effects are described. SN - 0886-4470 UR - https://www.unboundmedicine.com/medline/citation/15262767/Giant_juvenile_nasopharyngeal_angiofibroma:_management_by_skull_base_surgery_ L2 - https://jamanetwork.com/journals/jamaotolaryngology/fullarticle/10.1001/archotol.130.7.882 DB - PRIME DP - Unbound Medicine ER -