Wydawnictwo Medyczne Mediton

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the Polish Society of Audiology and Phoniatrics


Original articles

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Assessent of the surgical treatment in patients with juvenile angiofibroma
Beata Pucher 1/, Katarzyna Jończyk-Potoczna 2/, Michał Grzegorowski 1/, Michał Ryglewicz 1/, Jarosław Szydłowski 1/
  • 1/ Klinika Otolaryngologii Dziecięcej Katedry Otolaryngologii Uniwersytetu Medycznego im. K. Marcinkowskiego w Poznaniu
  • 2/ Zakład Radiologii Pediatrycznej Szpitala Klinicznego im. K. Jonschera Uniwersytetu Medycznego im. K. Marcinkowskiego w Poznaniu

Introduction. Juvenile angiofibroma represents about 0.05% of all head and neck neoplasms. It affects only boys during puberty,
between 14-18 years of age It is the most common benign tumor of the nasopharynx.
Aim. Evaluation of treatment results in patients with juvenile angiofibroma hospitalized at the Department of Pediatric Otolaryngology in Poznan.
Materials and methods. In the period 2006-2010, 4 patients with juvenile angiofibroma were hospitalized. The average age at the time of admission to the hospital and the diagnosis was 11.7 years. All patients underwent CT imaging and MR, and preoperative endoscopy of nasopharynx. In one patient, the tumor was removed by endoscopy (FESS), in 3 other cases, midfacial degloving approach was used.
Results. Two patients required reoperation, in both it was performed by endoscopy (Functional Endoscopic Sinus Surgery, FESS). The longest follow-up period was 6 years, the shortest 2 years.
Conclusions. The standard procedure in our department is to perform endoscopy after surgery to evaluate the radicality and to early detect possible recurrence. The midfacial degloving access allows a satisfactory approach into the area and provides a good cosmetic result. Selected cases of stage III (Chandler’s staging) tumors can be treated by endoscopy with good result. Reoperations performed with the use of this technique should always be preceded by embolization.

Otorynolaryngologia vol 14. no 1. Marchpages: from 15to 19
full version