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Endoscopic assisted antral window approach for type III nasopharyngeal angiofibroma with infratemporal fossa extension.
Int J Pediatr Otorhinolaryngol 2008; 72(12):1855-60IJ

Abstract

OBJECTIVES

To assess the efficacy and safety of endoscopic assisted antral window approach in advanced nasopharyngeal angiofibroma with infratemporal fossa extension.

MATERIALS AND METHODS

Sixteen cases diagnosed as juvenile nasopharyngeal angiofibroma type III with infratemporal fossa extension were surgically managed using endoscopic assisted antral window approach (group A) and compared with another group of similar number that were managed using endoscopic assisted midfacial degloving (group B). Inclusion criteria were type III JNA with infratemporal fossa extension and a minimum follow-up of 2 years. Operative time, blood loss, adverse events and recurrences were recorded in all cases.

RESULTS

The amount of blood lost in group A was significantly less than group B. The operative time of group A was significantly less than group B. No major complications were seen in both groups. Twenty-eight patients showed complete tumor clearance. Four recurrences were seen: two in group A and two in group B.

CONCLUSION

Endoscopic assisted antral window approach provides a safe, reliable, effective and minimally invasive technique in management of type III JNA with infratemporal fossa extension. Preoperative embolization is a safe measure in the experienced hands that helps to reduce intraoperative blood loss and improves the quality of the surgical field.

Authors+Show Affiliations

Department of Otolaryngology and Head & Neck Surgery, Tanta University Hospitals, Egypt.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18952302

Citation

Khalifa, Mohamed A., and Sameh M. Ragab. "Endoscopic Assisted Antral Window Approach for Type III Nasopharyngeal Angiofibroma With Infratemporal Fossa Extension." International Journal of Pediatric Otorhinolaryngology, vol. 72, no. 12, 2008, pp. 1855-60.
Khalifa MA, Ragab SM. Endoscopic assisted antral window approach for type III nasopharyngeal angiofibroma with infratemporal fossa extension. Int J Pediatr Otorhinolaryngol. 2008;72(12):1855-60.
Khalifa, M. A., & Ragab, S. M. (2008). Endoscopic assisted antral window approach for type III nasopharyngeal angiofibroma with infratemporal fossa extension. International Journal of Pediatric Otorhinolaryngology, 72(12), pp. 1855-60. doi:10.1016/j.ijporl.2008.09.012.
Khalifa MA, Ragab SM. Endoscopic Assisted Antral Window Approach for Type III Nasopharyngeal Angiofibroma With Infratemporal Fossa Extension. Int J Pediatr Otorhinolaryngol. 2008;72(12):1855-60. PubMed PMID: 18952302.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Endoscopic assisted antral window approach for type III nasopharyngeal angiofibroma with infratemporal fossa extension. AU - Khalifa,Mohamed A, AU - Ragab,Sameh M, Y1 - 2008/10/25/ PY - 2008/06/20/received PY - 2008/08/22/revised PY - 2008/09/02/accepted PY - 2008/10/28/pubmed PY - 2009/2/12/medline PY - 2008/10/28/entrez SP - 1855 EP - 60 JF - International journal of pediatric otorhinolaryngology JO - Int. J. Pediatr. Otorhinolaryngol. VL - 72 IS - 12 N2 - OBJECTIVES: To assess the efficacy and safety of endoscopic assisted antral window approach in advanced nasopharyngeal angiofibroma with infratemporal fossa extension. MATERIALS AND METHODS: Sixteen cases diagnosed as juvenile nasopharyngeal angiofibroma type III with infratemporal fossa extension were surgically managed using endoscopic assisted antral window approach (group A) and compared with another group of similar number that were managed using endoscopic assisted midfacial degloving (group B). Inclusion criteria were type III JNA with infratemporal fossa extension and a minimum follow-up of 2 years. Operative time, blood loss, adverse events and recurrences were recorded in all cases. RESULTS: The amount of blood lost in group A was significantly less than group B. The operative time of group A was significantly less than group B. No major complications were seen in both groups. Twenty-eight patients showed complete tumor clearance. Four recurrences were seen: two in group A and two in group B. CONCLUSION: Endoscopic assisted antral window approach provides a safe, reliable, effective and minimally invasive technique in management of type III JNA with infratemporal fossa extension. Preoperative embolization is a safe measure in the experienced hands that helps to reduce intraoperative blood loss and improves the quality of the surgical field. SN - 0165-5876 UR - https://www.unboundmedicine.com/medline/citation/18952302/Endoscopic_assisted_antral_window_approach_for_type_III_nasopharyngeal_angiofibroma_with_infratemporal_fossa_extension_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-5876(08)00449-7 DB - PRIME DP - Unbound Medicine ER -