Piquet J J, Desaulty A, Boschi-Laot M T, Decroix G
Ann Otolaryngol Chir Cervicofac. 1979 Mar;96(3):141-50.
The authors report 17 cases nasopharyngeal fibroma treated between 1966 and 1978. Half of the cases developed before the age of 16, the other half occurring between 16 and 28 years. Arteriography was performed in only 8 cases and embolisation in 4 cases with 2 vascular accidents. Surgery was performed in 16 cases (15 Rouge Denker, 1 paralatero nasal). Invasion of the pterygomaxillary fossa was invariably found at operation. Amongst the patients treated by surgery, there was only one local recurrence and reoperation was successful. Finally, one patient with a very large fibroma with invasion of the temporal fossa was successfully treated by radiotherapy at a dose of 4 000 R.
作者报告了1966年至1978年间治疗的17例鼻咽纤维瘤病例。一半病例在16岁之前发病,另一半在16至28岁之间发病。仅8例进行了动脉造影,4例进行了栓塞,其中2例发生血管意外。16例接受了手术(15例采用Rouge Denker术式,1例采用鼻旁手术)。手术中均发现翼腭窝受侵。在接受手术治疗的患者中,仅1例局部复发,再次手术成功。最后,1例纤维瘤很大且侵犯颞窝的患者接受了4000伦琴剂量的放射治疗,治疗成功。