Management of advanced intracranial intradural juvenile nasopharyngeal angiofibroma: combined single-stage rhinosurgical and neurosurgical approach

International Forum of Allergy & Rhinology
Mohsen NaraghiMohsen Afarideh

Abstract

Although intracranial extension of juvenile nasopharyngeal angiofibroma (JNA) occurs commonly, intradural penetration is extremely rare. Management of such tumors is a challenging issue in skull-base surgery, necessitating their removal via combined approaches. In this work, we share our experience in management of extensive intradural JNA. In a university hospital-based setting of 2 tertiary care academic centers, retrospective chart of 6 male patients (5 between 15 and 19 years old) was reviewed. Patients presented chiefly with nasal obstruction, epistaxis, and proptosis. One of them was an aggressive recurrent tumor in a 32-year-old patient. All cases underwent combined transnasal, transmaxillary, and craniotomy approaches assisted by the use of image-guided endoscopic surgery, with craniotomy preceding the rhinosurgical approach in 3 cases. Adding a transcranial approach to the transnasal and transmaxillary endoscopic approaches provided 2-sided exposure and appreciated access to the huge intradural JNAs. One postoperative cerebrospinal fluid leak and 1 postoperative recurrence at the site of infratemporal fossa were treated successfully. Otherwise, the course was uneventful in the remaining cases. Management of intracrania...Continue Reading

References

Nov 1, 1979·Head & Neck Surgery·B W JafekR P Wood
Dec 1, 1984·The Laryngoscope·B J CummingsW Rider
Feb 1, 2000·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·G DanesiV Calabrese
Feb 9, 2000·The Journal of Laryngology and Otology·D J Howard, V J Lund
Sep 25, 2001·The Laryngoscope·D J HowardV Lund
May 23, 2003·American Journal of Otolaryngology·Mohsen Naraghi, Arash Kashfi
Jan 7, 2005·The Annals of Otology, Rhinology, and Laryngology·Jose Angelito U HardilloPaul P Knegt
Feb 10, 2006·Current Opinion in Otolaryngology & Head and Neck Surgery·Richard Douglas, Peter-John Wormald
Jul 11, 2006·The Laryngoscope·Richard Douglas, Peter-John Wormald
Apr 29, 2008·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Giovanni DanesiCristina Agostinis
Aug 9, 2011·Otolaryngologic Clinics of North America·Angela BlountBradford A Woodworth
Oct 28, 2011·Brazilian Journal of Otorhinolaryngology·Henrique Faria RamosLuiz Ubirajara Sennes
Jan 2, 2014·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Nadim KhoueirWalid Abou Hamad

❮ Previous
Next ❯

Related Concepts

Related Feeds

Brain Injury & Trauma

brain injury after impact to the head is due to both immediate mechanical effects and delayed responses of neural tissues.

CSF & Lymphatic System

This feed focuses on Cerebral Spinal Fluid (CSF) and the lymphatic system. Discover the latest papers using imaging techniques to track CSF outflow into the lymphatic system in animal models.