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Lateral Molar Approach-Driven Transoral Endoscopic Procedure for Benign Infratemporal Fossa Tumor Resection
Published on: August 15, 2025
[Transpalatal approach for juvenile angiofibroma]
Wiesław Gołabek1, Anna Szymańska, Henryk Siwiec
1Klinika Otolaryngologii i Onkologii Laryngologicznej AM w Lublinie.
Otolaryngologia Polska = the Polish Otolaryngology
|July 22, 2008
Summary
The transpalatal approach is effective for treating small juvenile nasopharyngeal angiofibromas (JNA) confined to the nasal cavity and nasopharynx. This surgical method demonstrated no complications in a study of 22 patients.
Area of Science:
- Otolaryngology
- Surgical Oncology
Background:
- Juvenile nasopharyngeal angiofibromas (JNA) are rare, vascular tumors originating in the sphenopalatine foramen.
- These locally invasive tumors require effective surgical management.
Purpose of the Study:
- To evaluate the efficacy and safety of the transpalatal approach for JNA treatment.
- To assess tumor extension, surgical complications, and recurrence rates associated with this approach.
Main Methods:
- Retrospective review of 22 patients diagnosed with JNA.
- Surgical treatment utilizing the transpalatal approach.
- Analysis of tumor extent, operative complications, and recurrence data.
Main Results:
- Tumor confined to the nasal cavity and nasopharynx in 17 patients.
- Invasion into the sphenoid sinus observed in 5 patients.
- No surgical complications reported; 9% recurrence rate observed.
Conclusions:
- The transpalatal approach is well-suited for small JNAs (Andrews grade I and II).
- This technique is effective for tumors limited to the nasopharynx, nasal cavity, and sphenoid sinus.
- The approach offers a safe option with minimal complications for select JNA cases.
