内镜辅助经唇下和颊唇切口入路治疗累及颞下窝的青少年鼻咽血管纤维瘤
Endoscopic assisted sublabial and buccolabial incision approach for juvenile nasopharyngeal angiofibroma with extensive infratemporal fossa extension.
作者信息
Sun Xi-Cai, Li Han, Liu Zhuo-Fu, Hu Li, Yu Hua-Peng, Wang Jing-Jing, Liu Quan, Liu Juan, Wang De-Hui
机构信息
Department of Otolaryngology-Head and Neck Surgery, Affiliated Eye Ear Nose and Throat Hospital, Fudan University, Shanghai, China.
出版信息
Int J Pediatr Otorhinolaryngol. 2012 Oct;76(10):1501-6. doi: 10.1016/j.ijporl.2012.07.003. Epub 2012 Jul 23.
OBJECTIVE
The aim of this study is to evaluate endoscopic assisted sublabial and buccolabial incision approach as treatment option for Juvenile nasopharyngeal angiofibroma (JNA) with extensive infratemporal fossa (ITF) extension.
METHODS
Seven patients diagnosed as JNA with extensive ITF extension and underwent surgery at our department between 2006 and 2010 were retrospectively reviewed. All patients underwent diagnostic arteriography followed by embolization preoperatively and intratumor injection with N-butyl cyanoacrylate (NBCA). Endoscopic assisted sublabial and buccolabial incision approach was used to remove the tumors.
RESULTS
Complete resections of the tumors were achieved in all patients. Mean blood loss was 700 ml. The follow-up period ranged from 9 to 20 months, with a mean of 14.3 months. One patient had a recurrent tumor six months after operation.
CONCLUSIONS
Endoscopic assisted sublabial and buccolabial incision is an optional approach to remove JNA with extensive ITF extension.
目的
本研究旨在评估内镜辅助下经唇下和颊唇切口入路作为治疗伴有广泛颞下窝（ITF）扩展的青少年鼻咽血管纤维瘤（JNA）的一种治疗选择。
方法
回顾性分析2006年至2010年间在我科诊断为JNA且伴有广泛ITF扩展并接受手术治疗的7例患者。所有患者术前均接受诊断性动脉造影，随后进行栓塞，并在瘤内注射氰基丙烯酸正丁酯（NBCA）。采用内镜辅助下经唇下和颊唇切口入路切除肿瘤。
结果
所有患者均实现肿瘤完全切除。平均失血量为700毫升。随访期为9至20个月，平均为14.3个月。1例患者术后6个月肿瘤复发。
结论
内镜辅助下经唇下和颊唇切口是切除伴有广泛ITF扩展的JNA的一种可选入路。
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