Endoscopic and Endoscopic-Assisted Surgery Applied at Juvenile Angiofibroma

• Main Authors: Szyfter, W., Borucki, L., Kopeć, T., Popko, M.
• Format: Conference Proceeding
• Language: English
• ISSN: 2193-6331; 2193-634X
• DOI: 10.1055/s-0032-1314083

Introduction: The application of endoscopic and endoscopic-assisted surgery for the resection of juvenile angiofibromas (JNA) has recently become more common. These techniques provide good access to the tumor and thus allow both the complete resection and the reduction of perioperative trauma. Materials and Methods: Between 2007 and 2011, 10 patients had JNA surgery at the ENT Department of Poznan Medical University. The extent of the JNA was assessed according to the Radkowski staging scale from IA to IIIA. In eight cases, only endoscopic surgery was performed, and in the other two cases, we applied endoscopic-assisted surgery. In all the cases, complete sphenoethmoidectomy as well as the resection of the medial wall of the maxillae and the resection of the inferior turbinate was performed. In more advanced tumors, the pterygopalatine and infratemporal fossa were opened. In two cases, due to narrow nostrils, lateral rhinotomy was performed to provide appropriate access to the tumor. All the patients were embolized before the surgery. Results: Complete resection was feasible in all the cases. Blood loss ranged from 150 to 400 mL. In one case, blood transfusion was needed after the surgery. No further complications were observed. All the patients were discharged from the hospital between the third and sixth day after the surgery. Conclusions: Endoscopic procedures applied at JNA resection are safe and less traumatic in comparison to open techniques. In some cases, however, an open approach should be combined with endoscopy to obtain appropriate access to the tumor.