Endoscopic surgery using the low-temperature plasma radiofrequency for nasopharyngeal angiofibroma
10.3760/cma.j.issn.1673-0860.2010.07.013
- VernacularTitle:鼻内镜下低温等离子射频切除术治疗鼻咽血管纤维瘤的初步观察
- Author:
Qing-Feng ZHANG
1
;
Cui-Ping SHE
;
Yi-Feng TONG
;
Yan JIN
;
Xin-Ran ZHANG
Author Information
1. 大连市中心医院
- Keywords:
Nasopharyngeal neoplasms;
Angiofibroma;
Endoscopy;
Otorhinolaryngol surgical procedures;
Radiofrequency
- From:
Chinese Journal of Otorhinolaryngology Head and Neck Surgery
2010;45(7):578-581
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the feasibility of endoscopic surgery using the low-temperature plasma radiofrequency for nasopharyngeal angiofibroma (NA). Methods The clinical data of 4 patients treated between December 2005 and August 2009 were retrospectively analyzed. The tumor in one patient was at stage Ⅰ and three patients were at stage Ⅱ, all these patients were treated by endoscopic surgery using the low-temperature plasma radiofrequency under controlled hypotension anesthesia. Preoperative angiography and embolisation were underwent in all patients. Bipolar coagulation was used to help hemostasis during operation. Results The tumor in all 4 patients was completely removed. The operation time was 60,80, 110, 90 min respectively. The blood loss was 250, 250, 320, 280 ml respectively. Neither blood transfusion nor complications were encountered perioperatively. Follow-up ranged from 6 months to 4 years,none of the patients recurred. Conclusions Endoscopic surgery using low-temperature plasma radiofrequency for nasopharyngeal angiofibroma has many advantages such as less bleeding and total tumor removal. It is a minimally invasive surgical method for nasopharyngeal angiofibroma.
