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KMID : 0390220120230020283
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Journal of Clinical Otolaryngology, Head and Neck Surgery
2012 Volume.23 No. 2 p.283 ~ p.288
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A Case of Juvenile Angiofibroma Invading Pterygopalatine Fossa, Infratemporal Fossa and Lateral Skull Base Treated by Combined Endoscopic Trans-Binasal and Endoscopic Sublabial-Transmaxillary Approach
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Lee Jong-Kil
Hong Sung-Lyong
Lee Jung-Hoon
Roh Hwan-Jung
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Abstract
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Recently, transnasal endoscopic surgery of nasopharyngeal angiofibroma has been extensively used as an excellent alternative to external approaches in the management of small-intermediate size nasopharyngeal angiofibroma. But if tumor has extended to the pterygopalatine fossa or infratemporal fossa, transnasal endoscopic approach alone has limitations for complete removal. Combining transnasal and endoscopic sublabial-transmaxillary approach can be helpful for management of extremely lateral lesions of the pterygopalataine fossa, as well as the infratemporal fossa. We present a case of nasopharyngeal angiofibroma extended to pterygopalatine fossa, lateral skull base and infratemporal fossa, which was successfully removed by combined endoscopic trans-binasal and endoscopic sublabial-transmaxillary approach using three holes-six hands technique.
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KEYWORD
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Angiofibroma, Endoscopic surgery, Sublabial-transmaxillary approach
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