Malik M K, Kumar A, Bhatia B P
Department of ENT, Medical College, Meerut, India.
Indian J Med Sci. 1991 Dec;45(12):336-42.
A total of 27 cases of nasopharyngeal angiofibroma were treated in this series. All were males and age ranged between 9 and 24 years. Predominant symptoms were epistaxis and nasal obstruction. Nasopharyngeal mass was present in all cases. Cheek extensions were observed in 6. Surgery was done in 25 cases. Transpalatal excision was done in all cases. Cheek extensions were removed through separate sublabial incisions. Additional lateral rhinotomy was required in one case. Death occurred in one case during surgery due to excessive haemorrhage. Out of 25 cases, 21 were followed up for periods ranging from 2-5 years. Complete cure was observed in 16 cases. Recurrence occurred in 5 cases, who were operated upon again. Out of 5 recurrence operated cases, 2 cases showed a second recurrence.
本系列共治疗27例鼻咽血管纤维瘤。患者均为男性，年龄在9至24岁之间。主要症状为鼻出血和鼻塞。所有病例均有鼻咽部肿物。6例可见向颊部扩展。25例行手术治疗。所有病例均行经腭切除术。通过单独的唇下切口切除向颊部扩展的部分。1例需要附加外侧鼻切开术。1例患者在手术期间因出血过多死亡。25例中，21例获得随访，随访时间为2至5年。16例治愈。5例复发，再次接受手术。在5例复发再次手术的病例中，2例出现二次复发。
