Experience of transnazal endoscopic surgery of juvenile angiofibroma of the skull base and nasopharynx without performing preoperative embolization

Grachev N.S.

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology;
Medical Institute of Continuing Education, Moscow State University of Food Production

Vorozhtsov I.N.

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology

Frolov S.V.

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology

Polev G.A.

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology

Gladko V.V.

Medical Institute of Continuing Education, Moscow State University of Food Production

Experience of transnazal endoscopic surgery of juvenile angiofibroma of the skull base and nasopharynx without performing preoperative embolization

Authors:

Grachev N.S., Vorozhtsov I.N., Frolov S.V., Polev G.A., Gladko V.V.

More about the authors

Journal: Russian Bulletin of Otorhinolaryngology. 2020;85(4): 85‑88

DOI: 10.17116/otorino20208504185

Downloaded: 84

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To cite this article:

Grachev NS, Vorozhtsov IN, Frolov SV, Polev GA, Gladko VV. Experience of transnazal endoscopic surgery of juvenile angiofibroma of the skull base and nasopharynx without performing preoperative embolization. Russian Bulletin of Otorhinolaryngology. 2020;85(4):85‑88. (In Russ.)
https://doi.org/10.17116/otorino20208504185

Подписка 2025 (Russian Bulletin of Otorhinolaryngology)

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Juvenile nasopharyngeal angiofibroma (JNA) is a hypervascular, blood-supplied, benign tumour affecting the sinuses, nasal cavity, nasopharynx and the base of the skull. For intraoperative hemostasis, pre-operative embolism is a common and recommended procedure, but it has serious disadvantages, such as additional radiation exposure, anesthesia, and the risk of iatrogenic complications associated with the occlusion of the central artery of the retina, orbital and middle cerebral arteries. This article presents a report on successful radical removal of the widespread SAS without resorting to preoperative embolization, but with intraoperative transnazal endoscopic clipping of the internal maxillary artery (IMA).

Keywords:

angiofibroma

juvenile

nasopharynx

embolization

Authors:

Grachev N.S.

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology;
Medical Institute of Continuing Education, Moscow State University of Food Production

Vorozhtsov I.N.

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology

Frolov S.V.

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology

Polev G.A.

Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology

Gladko V.V.

Medical Institute of Continuing Education, Moscow State University of Food Production

Received:

24.11.2019

Accepted:

25.04.2020

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