Endoscopic Endonasal Transturbinate Approach to the Pterygopalatine Fossa in the Management of Juvenile Nasopharyngeal Angiofibromas
Joint Authors
Kodama, Satoru
Suzuki, Masashi
Mabuchi, Hideaki
Source
Case Reports in Otolaryngology
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-06-26
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Pterygopalatine fossa (PPF) is a difficult-to-access anatomic area located behind the posterior wall of the maxillary sinus.
Juvenile nasopharyngeal angiofibroma (JNA) often affects this area, and the management of feeding artery to the tumor is important in the surgery.
Endoscopic endonasal approach to the PPF without endangering all other nasal structures is useful in the management of JNA.
We describe a new approach to the PPF, endoscopic transturbinate approach, which is effective in the management of JNA.
Submucous inferior turbinoplasty was performed, and sphenopalatine artery, the feeder to the tumor, was identified at the sphenopalatine foramen.
The posterior wall of maxillary sinus was removed.
Internal maxillary artery was identified in the PPF and was ligated with a hemoclip.
The tumor in the PPF was pushed into the nasal cavity.
These procedures were all performed via submucous turbinate tunnel.
Then, the tumor was successfully removed in en bloc from the nasal cavity by transnasal approach without ethmoidectomy.
This approach improves accessibility and visualization in the PPF and potential to reduce intraoperative bleeding due to ligation of the feeder safely without touching the tumor.
Endoscopic transturbinate approach is effective in the management of early stage of JNA.
American Psychological Association (APA)
Kodama, Satoru& Mabuchi, Hideaki& Suzuki, Masashi. 2012. Endoscopic Endonasal Transturbinate Approach to the Pterygopalatine Fossa in the Management of Juvenile Nasopharyngeal Angiofibromas. Case Reports in Otolaryngology،Vol. 2012, no. 2012, pp.1-3.
https://search.emarefa.net/detail/BIM-497988
Modern Language Association (MLA)
Kodama, Satoru…[et al.]. Endoscopic Endonasal Transturbinate Approach to the Pterygopalatine Fossa in the Management of Juvenile Nasopharyngeal Angiofibromas. Case Reports in Otolaryngology No. 2012 (2012), pp.1-3.
https://search.emarefa.net/detail/BIM-497988
American Medical Association (AMA)
Kodama, Satoru& Mabuchi, Hideaki& Suzuki, Masashi. Endoscopic Endonasal Transturbinate Approach to the Pterygopalatine Fossa in the Management of Juvenile Nasopharyngeal Angiofibromas. Case Reports in Otolaryngology. 2012. Vol. 2012, no. 2012, pp.1-3.
https://search.emarefa.net/detail/BIM-497988
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-497988