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首页> 外文期刊>The Journal of laryngology and otology. >Transnasal endoscopic management of angiofibroma extending to pterygopalatine and infratemporal fossae.
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Transnasal endoscopic management of angiofibroma extending to pterygopalatine and infratemporal fossae.

机译：经鼻内镜处理的血管纤维瘤延伸至翼状pal肉和颞下窝。

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INTRODUCTION: Surgical approaches to the pterygopalatine and infratemporal fossae are complex and cause significant morbidity. The commonest benign tumour to extend to the pterygopalatine and infratemporal fossae is angiofibroma. PATIENTS AND METHODS: This prospective study included 15 male patients aged 12-27 years with recurrent, severe epistaxis. After computed tomography and magnetic resonance imaging, a modified Wormald and Robinson's two-surgeon approach was used. Follow up, with endoscopy and magnetic resonance imaging, ranged from two to five years. RESULTS: Twelve patients were cured (endoscopically and radiologically). Three patients suffered recurrence, one each in the lateral sphenoid wall, pterygoid canal and infratemporal fossa. Revision surgery was performed, but one patient suffered another recurrence (lateral sphenoid wall with cavernous sinus infiltration) and was referred for gamma knife surgery. CONCLUSION: This endoscopic two-surgeon technique is an excellent approach for managing angiofibroma extending to the pterygopalatine and infratemporal fossae. Our modification markedly decreased morbidity by avoiding septum opening and sublabial incision, and by enabling better haemostasis (via maxillary artery control). Recurrence may be minimised by careful examination of the lateral sphenoid wall, pterygoid canal and infratemporal fossa pterygoid muscles.
机译：简介：翼状ery肉和颞下窝的手术方法很复杂，并且会引起很大的发病率。延伸到翼ery和颞下窝的最常见的良性肿瘤是血管纤维瘤。患者与方法：这项前瞻性研究纳入了15位年龄在12-27岁之间的男性，患有复发性严重鼻epi。在计算机断层扫描和磁共振成像之后，使用了改良的Wormald和Robinson的两刀手术方法。随访时间为2至5年，包括内窥镜检查和磁共振成像。结果：十二例患者（内镜和放射学）治愈。 3例患者复发，蝶骨外侧壁，翼状can管和颞下窝各1例。进行了翻修手术，但一名患者再次复发（外侧蝶窦壁有海绵窦浸润），被转介做伽玛刀手术。结论：这种内窥镜两刀技术是一种很好的治疗血管纤维瘤的方法，可扩展到翼ery肌和颞下窝。我们的改良方案通过避免隔膜开裂和阴唇下切开术以及通过更好的止血（通过上颌动脉控制）显着降低了发病率。仔细检查蝶骨外侧壁，翼状can管和颞下窝翼状muscle肉，可以最大程度地减少复发。

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