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Vol. 70. Issue 5.
Pages 279-285 (September - October 2019)
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Vol. 70. Issue 5.
Pages 279-285 (September - October 2019)
Original article
DOI: 10.1016/j.otoeng.2018.06.002
Juvenile Nasopharyngeal Angiofibroma Surgical Treatment in Paediatric Patients
Tratamiento quirúrgico del angiofibroma nasofaríngeo juvenil en pacientes pediátricos
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Juan Francisco Oré Acevedo
Corresponding author
jore@insnsnb.gob.pe

Corresponding author.
, Luis Martín La Torre Caballero, Rosmery Janet Urteaga Quiroga
Instituto Nacional de Salud del Niño, Lima, Peru
Received 04 April 2018. Accepted 01 June 2018
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Figures (4)
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Tables (4)
Table 1. Chandler and Andrews–Fisch Classifications for Nasopharyngeal Angioifibroma.
Table 2. Involvement of the Craniofacial Cavities.
Table 3. Cases according to Chandler and Andrews–Fisch Classifications.
Table 4. Volume of Blood Loss, Number of Transfusions and Relapses According to Stages.
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Abstract
Introduction

The juvenile nasopharyngeal angiofibroma is a highly vascularised benign neoplasm of complex treatment in its surgical preparation, surgery to be performed, risks and recurrences.

Objective

The aim of the study was to determine the management and surgical treatment for the pathology of juvenile nasoangiofibroma.

Materials and methods

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.

Results

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.

Conclusions

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.

Keywords:
Juvenile angiofibroma
Surgery
Le Fort
Resumen
Introducción

El nasoangiofibroma juvenil es una neoplasia benigna sumamente vascularizada de tratamiento complejo tanto en su preparación quirúrgica, cirugía a realizar, riesgos y recurrencias.

Objetivo

Determinar el manejo y tratamiento quirúrgico para la patología de nasoangiofibroma juvenil.

Materiales y métodos

Se revisaron las historias clínicas e imágenes de los pacientes intervenidos por la especialidad de cirugía de cabeza, cuello y maxilofacial con resultado de patología compatible con nasoangiofibroma juvenil, en el periodo de enero 2008 a diciembre del 2016.

Resultados

Se intervinieron 61 casos, todos ellos tratados con el mismo acceso quirúrgico por medio de una osteotomía Le Fort I. La totalidad de los pacientes fue del sexo masculino con un promedio de edad de 13,3 años. Se utilizó la clasificación de Andrew-Fish para la estadificación de los casos. Obteniendo el grado II y I la mayor cantidad de casos.

Conclusiones

El abordaje descrito provee un acceso quirúrgico extenso, el cual es adecuado para los diferentes estadíos de la tumoración. Requiere de experiencia para poder llevar a cabo la resección de la tumoración con el menor sangrado posible.

Palabras clave:
Nasoangiofibroma
Cirugía
Le Fort

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