A Case of Surgical Treatment of Juvenile Angiofibroma that Erode the Base of Pterygoid Resected by En Block Resection

DOI Web Site 1 Citations 19 References Open Access
  • Inui Takaaki
    Department of Otolaryngology-Head and Neck Surgery, Kyoto Prefectural University of Medicine
  • Yasuda Makoto
    Department of Otolaryngology-Head and Neck Surgery, Kyoto Prefectural University of Medicine
  • Okamoto Shota
    Department of Otolaryngology-Head and Neck Surgery, Kyoto Prefectural University of Medicine
  • Onishi Toshinori
    Department of Otolaryngology-Head and Neck Surgery, Kyoto Prefectural University of Medicine
  • Koida Atsuhide
    Department of Otolaryngology-Head and Neck Surgery, Kyoto Prefectural University of Medicine
  • Kuremoto Toshihiro
    Department of Otolaryngology-Head and Neck Surgery, Kyoto Prefectural University of Medicine
  • Tomii Minako
    Department of Otolaryngology-Head and Neck Surgery, Kyoto Prefectural University of Medicine
  • Hirano Shigeru
    Department of Otolaryngology-Head and Neck Surgery, Kyoto Prefectural University of Medicine

Bibliographic Information

Other Title
  • 一塊切除を行った翼状突起基部に進展した若年性血管線維腫例

Search this article

Description

<p>Juvenile angiofibroma (JA) is a rare benign vascular tumor that affects adolescent males. Although the tumor is benign histologically, it progresses invasively while destroying bone, and so it is treated clinically as a malignant tumor. In recent years, endoscopic sinus surgery has become widely used due to development of equipment and an increase in the number of skilled surgeons. This method allows complete surgical resection as a radical treatment for JA and provides a good visual field, which is important because JA is located in the deep part of the face and can easily cause bleeding. Selective vascular embolization before surgery is also recommended for reducing bleeding during surgery. However, since JA is a rare tumor, there are few facilities that are proficient in its treatment, and there is no current consensus on the surgical method. We experienced a case of JA that eroded the base of the pterygoid in a 15-year-old boy. Preoperative embolization was performed and the tumor was resected using the Denker method with endoscopic surgery. In follow-up of 3 years and 6 months after the operation there has been no recurrence. For treatment of JA, it is important to secure a sufficient visual field during the operation, and this is facilitated by preoperative embolization to reduce the amount of blood loss. It is also important to select a flexible surgical technique, regardless of whether the choice is endoscopic sinus surgery.</p>

Journal

Citations (1)*help

See more

References(19)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top