Juvenile Angiofibroma with En Bloc Resection by an Endoscopic Tri-port Approach: A Case Report

DOI Web Site 13 References
  • Makihara Seiichiro
    Department of Otolaryngology-Head & Neck Surgery, Kagawa Rosai Hospital
  • Omura Kazuhiro
    Department of Otorhinolaryngology, The Jikei University School of Medicine
  • Miyamoto Shotaro
    Department of Otolaryngology-Head & Neck Surgery, Kagawa Rosai Hospital
  • Naito Tomoyuki
    Department of Otorhinolaryngology, Kagawa Prefectural Central Hospital
  • Uraguchi Kensuke
    Department of Otolaryngology-Head and Neck Surgery, Okayama University Academic Field of Medicine, Dentistry and Pharmaceutical Sciences
  • Tsumura Munechika
    Department of Otolaryngology-Head & Neck Surgery, Kagawa Rosai Hospital
  • Kariya Shin
    Department of Otolaryngology-Head and Neck Surgery, Okayama University Academic Field of Medicine, Dentistry and Pharmaceutical Sciences
  • Okano Mitsuhiro
    Department of Otorhinolaryngology, International University of Health and Welfare, School of Medicine
  • Ando Mizuo
    Department of Otolaryngology-Head and Neck Surgery, Okayama University Academic Field of Medicine, Dentistry and Pharmaceutical Sciences

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  • Endoscopic tri-port approach法にて一塊切除した若年性血管線維腫例

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Abstract

<p>Juvenile angiofibroma (JA) is a locally invasive, highly vascular and benign tumor that affects adolescent males. Radical resection has commonly been used as an external approach for treatment of JA for many years. However, transnasal endoscopic approaches have recently become widely used due to advances in equipment and surgical techniques. The endoscopic tri-port approach, which combines the techniques of transseptal access with crossing multiple incisions (TACMI) and the direct approach to the anterior and lateral parts of the maxillary sinus (DALMA), provides a wide surgical corridor with minimal invasion of the pterygopalatine fossa and does not require an external approach, including a Caldwell-Luc procedure. We experienced a case of JA that eroded the pterygopalatine fossa in a 17-year-old boy. Preoperative embolization was performed and the endoscopic tri-port approach was used for successful resection of the tumor en bloc after clipping of the maxillary artery.</p>

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