Management dilemmas in the treatment and follow-up of advanced juvenile nasopharyngeal angiofibroma

被引:39
|
作者
Marshall, Andrew H. [1 ]
Bradley, Patrick J. [1 ]
机构
[1] Univ Nottingham Hosp, Queens Med Ctr NHS, Dept Otolaryngol Head & Neck Surg, Nottingham NG7 2UH, England
关键词
juvenile nasopharyngeal angiofibroma; midfacial degloving; pre-operative embolization;
D O I
10.1159/000093218
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
Advanced juvenile nasopharyngeal angiofibroma (JNA) (i.e. disease with intracranial extension) is reportedly uncommon. The optimum management form of such a clinical situation currently remains controversial. This review, of the recent English published literature, discusses the common JNA classification systems advocated, shows the advantages and disadvantages of surgical approaches used (both open, endoscopic or combined), and re-evaluates the current role of radiotherapy (for initial management or treatment of residual/recurrent disease). We also discuss the typical presentation of these patients, the role of pre-operative embolization, as well as surgical techniques to minimize recurrence, and advocate a post-treatment follow-up protocol. Copyright (c) 2006 S. Karger AG, Basel
引用
收藏
页码:273 / 278
页数:6
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