TREATMENT OF LARGE JUVENILE NASOPHARYNGEAL ANGIOFIBROMA

被引：42

作者：

DESCHLER, DG ^{[1
]}

KAPLAN, MJ ^{[1
]}

BOLES, R ^{[1
]}

机构：

[1] UNIV CALIF SAN FRANCISCO,DEPT OTOLARYNGOL HEAD & NECK SURG,SAN FRANCISCO,CA 94143

来源：

OTOLARYNGOLOGY-HEAD AND NECK SURGERY | 1992年 / 106卷 / 03期

关键词：

D O I：

10.1177/019459989210600315

中图分类号：

R76 [耳鼻咽喉科学];

学科分类号：

100213 ;

摘要：

The management of large juvenile nasopharyngeal angiofibromas with intracranial extension is controversial. We review our experience since 1980 with eighteen patients with juvenile nasopharyngeal angiofibroma. A diagnostic and treatment approach consisting of preoperative magnetic resonance imaging, embolization of feeding branches from the external carotid artery, and attempted complete resection was used in seven patients with intracranial disease since 1987. Serial magnetic resonance images were used for followup. Intracranial disease that was persistent or recurrent and demonstrated subsequent growth was irradiated (35 to 45 cGy). Extracranial tumor recurrences were reexcised. We advocate this approach as a safe and effective alternative to primary irradiation and its sequelae.

引用

页码：278 / 284

页数：7

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