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首页> 外文期刊>Auris, nasus, larynx >Surgical management of large juvenile nasopharyngeal angiofibroma invading the infratemporal fossa with intracranial extradural parasellar involvement in an 8-year-old boy
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Surgical management of large juvenile nasopharyngeal angiofibroma invading the infratemporal fossa with intracranial extradural parasellar involvement in an 8-year-old boy

机译:一名8岁男孩颅内硬膜外旁侵犯累及颞下窝的大型青少年鼻咽血管纤维瘤的外科治疗

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摘要

We present a rare case of a large juvenile nasopharyngeal angiofibroma (JNA) in an 8-year-old boy. Preoperative imaging revealed that the tumor had widely extended to the sphenoid sinus, infratemporal fossa, and cavernous sinus. Following embolization of the feeding vessels, the tumor was successfully removed by a combination of an orbitozygomatic approach and Le Fort I osteotomy under frontolateral craniotomy. An endoscope assisted in the surgery. At 15 months follow-up, the patient was free of the disease with no facial palsy, scars, or malocclusion. JNA is a benign tumor that typically affects adolescent males and is rarely observed during prepuberty. Complete removal of JNA by surgery, the initial therapy, is generally required. However, as in the present case, a large JNA with wide extension requires extended surgery, and such a surgery is more invasive for prepubertal patients. Using an appropriate combination of surgical approaches, a large JNA developed during prepuberty can be safely removed with reduced morbidity.
机译:我们目前在一个8岁男孩中罕见的大型少年鼻咽血管纤维瘤(JNA)病例。术前影像检查显示,肿瘤已广泛扩展至蝶窦,颞下窝和海绵窦。饲养血管栓塞后,在前外侧颅骨开颅手术中,通过眶oz入路和Le Fort I截骨术相结合成功地切除了肿瘤。内窥镜辅助手术。随访15个月,患者无疾病,无面部麻痹,疤痕或咬合不良。 JNA是一种良性肿瘤,通常会影响青春期男性,并且在青春期前很少见到。通常需要通过手术完全去除JNA,这是最初的治疗方法。但是,如本例中所示,具有广泛扩展性的大型JNA需要延长手术时间,并且这种手术对青春期前患者更具侵入性。使用适当的手术方法组合,可以安全地移除青春期前发育的大型JNA,并降低发病率。

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