Meher Ravi, Arora Nikhil, Bhargava Eishaan Kamta, Juneja Ruchika
Department of ENT, Maulana Azad Medical College, New Delhi, India.
Department of ENT, Peterborough City Hospital, Peterborough, UK.
BMJ Case Rep. 2017 Aug 1;2017:bcr-2016-218731. doi: 10.1136/bcr-2016-218731.
The management of juvenile nasopharyngeal angiofibroma has undergone a significant evolution, with more surgeons moving towards the minimal invasive endoscopic approaches. Although considered the standard of care by most, an endoscopic approach may not be sufficient for extensive tumours, as exemplified by the current case of a young man presenting with the largest juvenile nasopharyngeal angiofibroma described in English literature until the present that was eventually excised via an anterior external approach.
青少年鼻咽血管纤维瘤的治疗方法经历了重大演变,越来越多的外科医生倾向于采用微创内镜手术。尽管大多数人认为内镜手术是标准的治疗方法,但对于广泛的肿瘤,内镜手术可能并不足够,正如目前这个病例所示,一名年轻男性患有英文文献中迄今描述的最大的青少年鼻咽血管纤维瘤,最终通过前外侧入路切除。