Kopeć Tomasz, Borucki Łukasz, Szyfter Witold
ENT Department, Medical University, Poznań, Poland.
ENT Department, Medical University, Poznań, Poland.
Int J Pediatr Otorhinolaryngol. 2014 Jul;78(7):1015-8. doi: 10.1016/j.ijporl.2014.03.027. Epub 2014 Apr 6.
The treatment of choice in juvenile nasopharyngeal angiofibroma (JNA) is surgery - nowadays endoscopic techniques. The aim of the study was to present the results of endoscopic treatment in patients diagnosed with juvenile angiofibroma.
In this retrospective case series, 10 patients with a diagnosis of JNA treated at the Department of Otolaryngology of the Medical University in Poznań from 2006 to June 2013 were included. The age of patients were between 11 and 19 years old (14.6 on average). In 9 out of 10 patients the treatment was preceded by embolization. The surgery used the endoscopic approach through one nostril and the four-handed technique.
Total resection was possible in all cases. Blood loss ranged from 100 to 250 ml. Post-operative hospitalization lasted from 3 to 5 days (3.3 days on average). Recurrence was reported in one patient. The observation lasted from six months to seven years (3.55 on average).
Endoscopic resection of juvenile angiofibroma is safe for the patient. Moreover, if the evaluation of the tumour size and staging is correct, the ability of total removal of the tumour is very high. It is also connected with small blood loss, short hospital stay and good cosmetic effects.
青少年鼻咽血管纤维瘤（JNA）的首选治疗方法是手术——如今是内镜技术。本研究的目的是介绍诊断为青少年血管纤维瘤患者的内镜治疗结果。
在这个回顾性病例系列中，纳入了2006年至2013年6月在波兹南医科大学耳鼻喉科接受治疗的10例诊断为JNA的患者。患者年龄在11至19岁之间（平均14.6岁）。10例患者中有9例在治疗前进行了栓塞。手术采用经单鼻孔的内镜入路和四手操作技术。
所有病例均可行肿瘤全切。出血量在100至250毫升之间。术后住院时间为3至5天（平均3.3天）。有1例患者复发。观察时间为6个月至7年（平均3.55年）。
内镜下切除青少年血管纤维瘤对患者是安全的。此外，如果对肿瘤大小和分期的评估正确，肿瘤全切的可能性非常高。它还与出血量少、住院时间短和美容效果好有关。
