Yuming Hong1, Zhenyuan Liang, Poshui Lin. 1. Department of Otolaryngology, Second Affiliated Hospital of Fujian Medical University, Quanzhou, 362000, China.
Abstract
OBJECTIVE: To study the diagnosis and treatment of nasopharyngeal angiofibroma. METHOD: Forty-one cases with nasopharyngeal angiofibroma accepted different kinds of surgical excision: 31 cases via palatal approach, 7 cases via mido-facial revelational approach, 3 cases via enlarged pergomaxillary fissure approach. RESULT: The average of blood loss was 1,450 ml in operation but it became 500-800 ml when had a selective preoperative angiography embolization. After 0.5 to 2 years of operation, five cases recurred one time, three cases recurred two times, one case recurred four times. CONCLUSION: CT examination is necessary in evaluation of the tumor's size, shape, duration, staging and invasive extent. It is important in designing the operative approach. The preoperative embolization can reduce the amount of bleeding during operation.
OBJECTIVE: To study the diagnosis and treatment of nasopharyngeal angiofibroma. METHOD: Forty-one cases with nasopharyngeal angiofibroma accepted different kinds of surgical excision: 31 cases via palatal approach, 7 cases via mido-facial revelational approach, 3 cases via enlarged pergomaxillary fissure approach. RESULT: The average of blood loss was 1,450 ml in operation but it became 500-800 ml when had a selective preoperative angiography embolization. After 0.5 to 2 years of operation, five cases recurred one time, three cases recurred two times, one case recurred four times. CONCLUSION: CT examination is necessary in evaluation of the tumor's size, shape, duration, staging and invasive extent. It is important in designing the operative approach. The preoperative embolization can reduce the amount of bleeding during operation.