Perioperative managements of huge lobulated nasopharyngeal angiofibromas with intracranial extensions.
- Author:
Zhichun LI
1
;
Gongbiao LIN
;
Lisheng HE
;
Zixiang YI
Author Information
1. Department of Otolaryngology-Head and Neck Surgery, the First Affiliated Hospital of Fujian Medical University, Fuzhou, 350005, China. lizhichun0322@163.com
- Publication Type:Journal Article
- MeSH:
Adolescent;
Angiofibroma;
blood supply;
pathology;
surgery;
Brain Neoplasms;
blood supply;
secondary;
surgery;
Carotid Artery, Internal;
Humans;
Male;
Nasopharyngeal Neoplasms;
blood supply;
pathology;
surgery;
Neoplasm Invasiveness;
Treatment Outcome
- From:
Journal of Clinical Otorhinolaryngology Head and Neck Surgery
2008;22(14):639-641
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To summarize our experience of successful and failed management in 8 huge lobulated nasopharyngeal angiofibromas with intracranial extensions, and introduce some key points of perioperative treatments.
METHOD:Eight male case with an average age of 18 years, were all lobes extending into middle and/or anterior cranial fossa, in which 5 cases revealed blood supply from the internal carotid arteries and 3 cases were reoperated because of recurrence. Preoperatively, the tumor were evaluated by CT, CTA, MRI and/or MRA, and super selective embolization of the feeding arteries were crucial procedures. The combined craniofacial approaches were used to excise these tumors.
RESULT:Five cases were removed completely, and 3 cases were removed partly in which 2 were due to serious bleeding caused by lack of DSA technique at that time and 1 were due to neglecting the tumor lobe in the sphenoid sinus of the other side.
CONCLUSION:Reasonable perioperative management are very important for control of intra-operative blood loss, complete remodeling of the tumor and avoiding complication.
