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Experiences with endonasal surgery in angiofibroma.
B Schick1, A el Rahman el Tahan, D Brors
1Department of Ear, Nose and Throat Diseases, Head, Neck and Facial Plastic Surgery, Communication Disorders, Fulda Hospital, Academic Teaching Hospital of the University of Marburg, Germany.
Rhinology
|July 23, 1999
Summary
Surgery for angiofibromas can be effectively performed using an endonasal microendoscopic approach. This technique allows for complete tumor removal without external incisions, as demonstrated in five patient cases.
Area of Science:
- Otolaryngology
- Neurosurgery
- Surgical Oncology
Background:
- Surgery is the primary treatment for angiofibromas.
- Surgical approach remains a key consideration for effective treatment.
- Endonasal surgery offers a minimally invasive alternative.
Purpose of the Study:
- To evaluate the efficacy and safety of the endonasal microendoscopic approach for treating angiofibromas.
- To analyze clinical findings, imaging, and surgical outcomes.
- To assess the potential for residual tumor or recurrence.
Main Methods:
- Retrospective analysis of five patients with typical angiofibromas.
- Surgical treatment via endonasal microendoscopic approach.
- Preoperative embolization and detailed imaging (CT, MRI) utilized.
Main Results:
- Complete tumor removal achieved in all cases.
- No residual tumor or recurrence observed during follow-up (5-39 months).
- Successful management of considerable tumor sizes without external incisions.
Conclusions:
- The endonasal microendoscopic approach is a valuable technique for angiofibroma resection.
- Adequate preoperative embolization is crucial for successful outcomes.
- This minimally invasive method avoids external scarring and complications.