Alves F RA, Granato L, Maia M S. Acessos Cirúrgicos no Angiofibroma Nasofaríngeo Juvenil – Relato de caso e revisão de literatura. Arch Otolaryngol Head. Juvenile angiofibroma (JNA) is a benign tumor that tends to bleed and occurs in the nasopharynx of prepubertal and adolescent males. Transcript of ANGIOFIBROMA JUVENIL NASOFARINGEO. Estadio I – tumor confinado a la nasofaríngeo. Estadio II – tumor extendido a la.
These classification systems are based on examination methods, including CT, MRI, and endoscopy, and have been utilized to establish the extent of the tumor, its pattern of spread, and consequently, surgical planning 10 11 12 16 17 18 Antral sign or Holman-Miller sign forward bowing of posterior wall of maxilla is jkvenil of angiofibroma.
Arterial embolization in the management of posterior epistaxis.
Endoscopic surgery is less invasive than open surgery, causing less damage to the patient. Ideally, the time between the completion of embolization and the endoscopic procedure should be as small as possible, approximately h Transcatheter arterial embolization in nasopharyngeal angiofibroma.
The third patient with a Fisch I tumor underwent surgery with embolization, but without clamping of the external carotid arteries.
Imaging plays an important role in diagnosis, as biopsies should be avoided due to the risk nasofaringgeo brisk hemorrhage, as well as staging. National Center for Biotechnology InformationU. CT is particularly useful at delineating bony changes. Studies comparing surgical treatment with or without embolization have shown that preoperative embolization reduced intraoperative blood loss and the need for replacement of blood products 31 Retrieved from ” https: Maurice M, Milad M.
Introduction Nasopharyngeal angiofibroma is a histologically and biologically benign tumor with aggressive behavior due to its location and associated symptoms including significant epistaxis and nasal obstruction 1 2 3 4 5. Sarcoma Lymphoma Immature teratoma Melanoma. Arch Otolaryngol Head Neck Surg. Sociedade Brasileira de Otorrinolaringologia.
Pathology Outlines – Nasopharyngeal angiofibroma
How to cite this article. Nasal cavity Esthesioneuroblastoma Nasopharynx Nasopharyngeal carcinoma Nasopharyngeal angiofibroma Larynx Laryngeal cancer Laryngeal papillomatosis. Consistent with previous results, we found that the mean operation time in the 17 patients who underwent endoscopic surgery alone was min Direct intratumoral embolization of juvenile angiofibroma. To retrospectively describe our experience in the diagnosis and treatment of patients with juvenile nasopharyngeal angiofibroma.
The tumor is primarily excised by external or nadofaringeo approach. Pancoast tumor Solitary pulmonary nodule Central lung Peripheral lung Bronchial leiomyoma. Recent advances in the treatment of juvenile angiofibroma. You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. The development of minimally invasive techniques has led to the increased use of endoscopic surgery for the treatment of nasopharyngeal angiofibroma 21making it ideal for tumors confined to the nasopharynx, nasal cavity, and sphenoid sinus with minimal extension into the pterygopalatine fossa 10 12 13 15 18 The combination of different accesses to the tumor can be required angioibroma.
Nasopharyngeal angiofibroma: Our experience and literature review
The tumor invades the nasal sinuses or the pterygomaxillary fossa with bone destruction. The presence of prominent flow voids lead to a salt and pepper appearance on most sequences and are characteristic 5,6.
Journal List Int Arch Otorhinolaryngol v. Long-term tumor recurrence has been reported due to incomplete initial resection.
Angiofibroma nasofaríngeo juvenil
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Find articles by Eduardo Passos Fiel de Jesus. However, these tumors are highly vascularized and grow rapidly. If nasopharyngeal angiofibroma is suspected based on physical examination a smooth vascular submucosal mass in the posterior nasal cavity of an adolescent maleimaging studies such as CT or MRI should be performed.
The nasofarineo patients who underwent combined surgeries experienced intraoperative bleeding, requiring nasal packing and replacement of blood products during surgery.