Lim I R, Pang Y T, Soh K
Department of Otolaryngology, National University Hospital, Singapore.
Singapore Med J. 2002 Apr;43(4):208-10.
Juvenile angiofibroma is benign yet aggressive. Due to its inaccessible location in the nasopharynx, open surgery usually requires osteotomies which cause stunting of facial growth in adolescent males. Advances in imaging and treatment techniques have now facilitated more accurate staging of this disease. For small, extracranial tumours limited to the nasal cavity and paranasal sinus, endoscopic resection is a viable alternative. This case report will illustrate how endoscopic resection allows good control with minimal morbidity compared to open surgery or radiotherapy.
青少年血管纤维瘤是良性但具有侵袭性的肿瘤。由于其位于鼻咽部难以触及的位置,开放性手术通常需要进行截骨术,这会导致青春期男性面部生长发育迟缓。成像和治疗技术的进步现已有助于对该疾病进行更准确的分期。对于局限于鼻腔和鼻窦的小型颅外肿瘤,内镜切除术是一种可行的替代方法。本病例报告将说明与开放性手术或放疗相比,内镜切除术如何能以最小的发病率实现良好的控制效果。