Author | Fonseca, Adriano Santana | |
Author | Vinhaes, Eriko | |
Author | Boaventura, Viviane | |
Author | Andrade, Nilvano Alves de | |
Author | Dias, Lislane Andrade | |
Author | Medeiros, Vyrna | |
Author | Coifman, Fernando | |
Access date | 2016-07-14T14:05:00Z | |
Available date | 2016-07-14T14:05:00Z | |
Document date | 2008 | |
Citation | FONSECA, A. S. Surgical treatment of non-embolized patients with nasoangiofibroma. Revista Brasileira de Otorrinolaringologia, v. 74, n. 4, p. 583-587, 2008 | pt_BR |
ISSN | 0034-7299 | pt_BR |
URI | https://www.arca.fiocruz.br/handle/icict/14883 | |
Language | eng | pt_BR |
Publisher | Sociedade Brasileira de Otorrinolaringologia | pt_BR |
Rights | open access | pt_BR |
Title | Surgical treatment of non-embolized patients with nasoangiofibroma | pt_BR |
Type | Article | pt_BR |
Abstract | Juvenile 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. | pt_BR |
Affilliation | Hospital Santa Izabel. Santa Casa de Misericórdia da Bahia. Salvador, BA, Brasil / Hospital da Bahia. Núcleo de Otorrinolaringologia e Estudos da Voz. Salvador, BA, Brasil / Hospital Português. Salvador, BA, Brasil | pt_BR |
Affilliation | Hospital Santa Izabel. Santa Casa de Misericórdia da Bahia. Salvador, BA, Brasil | pt_BR |
Affilliation | Fundação Gonçalo Moniz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil / Hospital Santa Izabel. Santa Casa de Misericórdia da Bahia. Salvador, BA, Brasil | pt_BR |
Affilliation | Hospital Santa Izabel. Santa Casa de Misericórdia da Bahia. Head and Neck Department. Salvador, BA, Brasil | pt_BR |
Affilliation | Hospital Santa Izabel. Santa Casa de Misericórdia da Bahia. Head and Neck Department. Salvador, BA, Brasil | pt_BR |
Affilliation | Hospital Santa Izabel. Santa Casa de Misericórdia da Bahia. Head and Neck Department. Salvador, BA, Brasil | pt_BR |
Affilliation | Hospital Santa Izabel. Santa Casa de Misericórdia da Bahia. Head and Neck Department. Salvador, BA, Brasil | pt_BR |
Subject | Treatment | pt_BR |
Subject | Embolization | pt_BR |
Subject | Juvenile nasopharyngeal angiofibroma | pt_BR |
Subject | Skull base | pt_BR |