Oré Acevedo Juan Francisco, La Torre Caballero Luis Martín, Urteaga Quiroga Rosmery Janet
Instituto Nacional de Salud del Niño, Lima, Perú.
Instituto Nacional de Salud del Niño, Lima, Perú.
Acta Otorrinolaringol Esp (Engl Ed). 2019 Sep-Oct;70(5):279-285. doi: 10.1016/j.otorri.2018.06.003. Epub 2018 Aug 6.
The juvenile nasopharyngeal angiofibroma is a highly vascularised benign neoplasm of complex treatment in its surgical preparation, surgery to be performed, risks and recurrences. The aim of the study was to analyze the management and surgical treatment for the pathology of juvenile nasoangiofibroma.
We reviewed the clinical histories and images of the patients who underwent surgery with a pathology result of juvenile nasoangiofibroma in the period from January 2008 to December 2016.
Sixty-one cases were treated; all of them treated using the same surgical access by means of a Le Fort I osteotomy. All of the patients were male, with an average age of 13.3 years. The Andrew-Fish classification was used for staging the cases, most were staged as grade II and I.
The described approach provided extensive surgical access, which was adequate for the different stages of the tumour. It requires experience to be able to resect the tumour with the least possible bleeding.
青少年鼻咽血管纤维瘤是一种血管高度丰富的良性肿瘤，其手术准备、手术操作、风险及复发情况的治疗较为复杂。本研究旨在分析青少年鼻血管纤维瘤病理的管理及外科治疗。
我们回顾了2008年1月至2016年12月期间接受手术且病理结果为青少年鼻血管纤维瘤患者的临床病史及影像资料。
共治疗61例患者；所有患者均采用相同的手术入路，即通过勒福I型截骨术。所有患者均为男性，平均年龄13.3岁。采用安德鲁 - 菲什分类法对病例进行分期，大多数病例分期为II级和I级。
所描述的手术入路提供了广泛的手术视野，适用于肿瘤的不同阶段。需要经验才能以尽可能少的出血切除肿瘤。
