dc.creatorFonseca, Adriano Santana
dc.creatorVinhaes, Eriko
dc.creatorBoaventura, Viviane
dc.creatorAndrade, Nilvano Alves de
dc.creatorDias, Lislane Andrade
dc.creatorMedeiros, Vyrna
dc.creatorCoifman, Fernando
dc.date2016-07-14T14:05:00Z
dc.date2016-07-14T14:05:00Z
dc.date2008
dc.date.accessioned2023-09-26T21:47:09Z
dc.date.available2023-09-26T21:47:09Z
dc.identifierFONSECA, A. S. Surgical treatment of non-embolized patients with nasoangiofibroma. Revista Brasileira de Otorrinolaringologia, v. 74, n. 4, p. 583-587, 2008
dc.identifier0034-7299
dc.identifierhttps://www.arca.fiocruz.br/handle/icict/14883
dc.identifier.urihttps://repositorioslatinoamericanos.uchile.cl/handle/2250/8873585
dc.descriptionJuvenile nasopharyngeal angiofibroma (JNA) is an uncommon tumor of the sphenopalatine foramen. Surgery combined with preoperative embolization has been the treatment of choice for JNA patients without intracranial invasion. This study aims to assess the viability of surgically treating non-embolized patients with JNA (types I-III according to Fisch). Materials And Method: This is a retrospective, descriptive study based on the medical records of 15 patients with histologically confirmed JNA (Fisch’s types I- III), who underwent surgical treatment without pre-op embolization in our institution between 2000 and 2005. Results: Seven of the fifteen patients were approached endoscopically, four through the transantral approach, three were treated with the combined transmaxillary and endoscopic approach, and one with the combined transmaxillary and transpalatal approach. Six patients required intraoperatory blood transfusion, averaging volumes of 1.3 unit/patient. There were no cases of death or significant morbidity. Eleven of the fifteen patients were followed for an average of twelve months and 27% of them relapsed. Four patients did not comply with the follow-up scheme. Conclusion: Resection of JNF types I-III was safely completed in non-embolized patients. The observed levels of intraoperative bleeding, occurrence of complications, and rates of recurrence were close to those seen in embolized patients as found in the literature.
dc.formatapplication/pdf
dc.languageeng
dc.publisherSociedade Brasileira de Otorrinolaringologia
dc.rightsopen access
dc.subjectTreatment
dc.subjectEmbolization
dc.subjectJuvenile nasopharyngeal angiofibroma
dc.subjectSkull base
dc.titleSurgical treatment of non-embolized patients with nasoangiofibroma
dc.typeArticle


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