The Four-Port Bradoo Technique: An Alternative to the Modified Endoscopic Denker’s Approach for Giant JNA

被引：1
作者：
Bradoo R. [1 ]
Joshi A. [1 ]
Shah K. [1 ]
Patel T. [1 ]
Lohiya T. [1 ]
机构：
[1] Department of ENT and Head-Neck Surgery, Lokmanya Tilak Municipal Medical College and General Hospital (Sion Hospital), Room No 441, 4th Floor, College Building, Sion, Mumbai
来源：
Indian Journal of Otolaryngology and Head & Neck Surgery | 2017年 / 69卷 / 3期
关键词：
Angiofibroma; Bradoo Technique; Four-Port; Infratemporal fossa; Modified Endoscopic Denker’s approach; Morbidity; Parapharyngeal spread;
D O I：
10.1007/s12070-017-1150-1
中图分类号：
学科分类号：
摘要：
The aim of this study is to emphasise the importance of preserving the anterior facial skeleton in angiofibroma surgery and to introduce a new approach by which tumors with far lateral extensions can be operated upon successfully without disruption of the anterior facial skeleton. This is a prospective study conducted at a tertiary referral academic centre. Two patients with extensive juvenile nasopharyngeal angiofibroma with far lateral extensions were recruited and they underwent surgery between July and August 2016. Both patients were not embolised prior to surgery. Complete tumor removal was achieved in both cases without any evidence of recurrence of disease. The facial contour was well maintained. They are under regular follow-up at our centre, having completed their third 3 monthly follow-up. The main outcome measures are preservation of the anterior facial skeleton and complete tumor removal. The Four-Port Bradoo Technique allows for maximum access to the angiofibroma whilst maintaining the anterior facial skeleton, thus ensuring complete removal with minimal morbidity to the patient. © 2017, Association of Otolaryngologists of India.
引用
收藏
页码：277 / 281
页数：4
相关论文
共 11 条
  • [1] Ardehali M.M., Ardestani S.H.S., Yazdani N., Goodarzi H., Bastaninejad S., Endoscopic approach for excision of juvenile nasopharyngeal angiofibroma: complications and outcomes, Am J Otolaryngol Head Neck Med Surg, 31, 5, pp. 343-349, (2010)
  • [2] Marshall A.H., Bradley P.J., Management dilemmas in the treatment and follow-up of advanced juvenile nasopharyngeal angiofibroma, Orl, 68, 5, pp. 273-278, (2006)
  • [3] Prosser J.D., Figueroa R., Carrau R.I., Ong Y.K., Solares C.A., Quantitative analysis of endoscopic endonasal approaches to the infratemporal fossa, Laryngoscope, 121, 8, pp. 1601-1605, (2011)
  • [4] Bradoo R.A., Joshi A.A., Pathan F.A., Kalel K.P., The push–pull technique in the management of giant JNAs, Bombay Hosp J, 50, 2, (2008)
  • [5] Wang D., Wang J., Yu H., Pasic T.R., Kern R.C., Endoscopic modified endonasal Denker operation for management of tumor in pterygopalatine and infratemporal fossae, Skull Base, 19, S 02, (2009)
  • [6] Dallan I., Castelnuovo P., Montevecchi F., Combined transoral transnasal robotic-assisted nasopharyngectomy: a cadaveric feasibility study, Eur Arch, 269, 1, pp. 235-239, (2012)
  • [7] Janakiram T.N., Sharma S.B., Gattani V.N., Multiport combined endoscopic approach to nonembolized Juvenile nasopharyngeal angiofibroma with parapharyngeal extension: an emerging concept, Int J Otolaryngol, 2016, pp. 1-7, (2016)
  • [8] Midilli R., Karci B., Akyildiz S., Juvenile nasopharyngeal angiofibroma: analysis of 42 cases and important aspects of endoscopic approach, Int J Pediatr Otorhinolaryngol, 73, 3, pp. 401-408, (2009)
  • [9] Godoy M.D.C.L., Bezerra T.F.P., de Rezende Pinna F., Voegels R.L., Complications in the endoscopic and endoscopic-assisted treatment of juvenile nasopharyngeal angiofibroma with intracranial extension, Braz J Otorhinolaryngol, 80, 2, pp. 120-125, (2014)
  • [10] Sanderson R.J., Knegt P., Management of inverted papilloma via Denker’s approach, Clin Otolaryngol Allied Sci, 24, 1, pp. 69-71, (1999)
12