Saurin R Shah1, Amit Keshri2, Simple Patadia1, Rabi Narayan Sahu1, Arun Kumar Srivastava1, Sanjay Behari1. 1. Department of Neurosurgery, (Head of Dept: Prof. Sanjay Behari), Sanjay Gandhi Postgraduate Institute of Medical Sciences, Raebareli Road, Lucknow, 226014, India. 2. Department of Neurosurgery, (Head of Dept: Prof. Sanjay Behari), Sanjay Gandhi Postgraduate Institute of Medical Sciences, Raebareli Road, Lucknow, 226014, India. Electronic address: amitkeshri2000@yahoo.com.
Abstract
OBJECTIVES: To study outcomes with endoscopic-assisted midfacial degloving for Fisch stage III nasopharyngeal angiofibroma and propose a new staging system. DESIGN: Retrospective study of patients with Fisch stage III juvenile nasopharyngeal angiofibroma (JNA) including preoperative angiography, intraoperative blood loss and residue/recurrence following surgery. SETTING: Tertiary care superspecialty referral center. PARTICIPANTS: Fifteen consecutive patients with Fisch stage III JNA undergoing operations over a period of 18 months. MAIN OUTCOME MEASURES: Preoperative angiography details, intraoperative blood loss, residue/recurrence, complications of surgery. CONCLUSIONS: Transarterial embolization with particulate agents followed by endoscopic-assisted midfacial degloving provides excellent outcomes with Fisch stage III JNAs. The modified Fisch staging system proposed would allow better preoperative evaluation and comparison of outcomes with different treatment options for stage III JNAs.
OBJECTIVES: To study outcomes with endoscopic-assisted midfacial degloving for Fisch stage III nasopharyngeal angiofibroma and propose a new staging system. DESIGN: Retrospective study of patients with Fisch stage III juvenile nasopharyngeal angiofibroma (JNA) including preoperative angiography, intraoperative blood loss and residue/recurrence following surgery. SETTING: Tertiary care superspecialty referral center. PARTICIPANTS: Fifteen consecutive patients with Fisch stage III JNA undergoing operations over a period of 18 months. MAIN OUTCOME MEASURES: Preoperative angiography details, intraoperative blood loss, residue/recurrence, complications of surgery. CONCLUSIONS: Transarterial embolization with particulate agents followed by endoscopic-assisted midfacial degloving provides excellent outcomes with Fisch stage III JNAs. The modified Fisch staging system proposed would allow better preoperative evaluation and comparison of outcomes with different treatment options for stage III JNAs.
Authors: Ravi S Manogaran; Arulalan Mathialagan; Vivek Singh; Prabhaker Mishra; Rajat Jain; Amit Keshri Journal: J Neurol Surg B Skull Base Date: 2020-08-20