Yadav Samar Pal Singh, Singh Ishwar, Chanda Rakesh, Sachdeva Om Parkash
Department of Otolaryngology, Post Graduate Institute of Medical Sciences, Rohtak, India.
J Otolaryngol. 2002 Dec;31(6):346-50. doi: 10.2310/7070.2002.34409.
To study the clinical profile of nasopharyngeal angiofibromas, various surgical approaches, and the outcome of surgery.
The retrospective study was carried out in 110 consecutive cases of nasopharyngeal angiofibroma over a period of 25 years.
A hospital-based study.
In 65 patients, a transpalatal approach was used, and in 38 patients, a lateral rhinotomy approach was used. The tumour was removed by external ethmoidectomy in 2 cases and in by transnasal approach in 3 cases. A modification of the transpalatal approach was also designed.
Patients were regularly followed up for any recurrence for 2 to 5 years.
Of 118 operated cases, in 33 patients, recurrence was observed. Four cases had to be operated three times and one case four times. All of the recurrences were observed within 2 years.
Angiofibroma, a disease of adolescent males, arises from either the lateral wall or the roof of the nasopharynx. Patients usually present at the late stage of the disease. Surgery is the treatment of choice. No single approach is applicable to all cases. However, most of the tumours are excisable by a lateral rhinotomy approach, with less chance of recurrence. The modified transpalatal approach provides excellent exposure. Recurrence occurs within 2 years.
研究鼻咽血管纤维瘤的临床特征、各种手术方法及手术效果。
对连续25年收治的110例鼻咽血管纤维瘤患者进行回顾性研究。
一项基于医院的研究。
65例患者采用经腭入路，38例患者采用鼻侧切开入路。2例患者通过鼻外筛窦切除术切除肿瘤，3例患者通过经鼻入路切除肿瘤。还设计了经腭入路的改良术式。
对患者进行定期随访2至5年，观察有无复发。
118例手术患者中，33例出现复发。4例患者接受了3次手术，1例患者接受了4次手术。所有复发均在2年内被发现。
血管纤维瘤是青春期男性的疾病，起源于鼻咽侧壁或顶壁。患者通常在疾病晚期就诊。手术是首选治疗方法。没有一种单一的手术方法适用于所有病例。然而，大多数肿瘤可通过鼻侧切开入路切除，复发几率较小。改良经腭入路可提供良好的视野暴露。复发发生在2年内。
