Combined approach for massive nasopharyngeal fibroma.
A combined approach by the transpalatal and transmaxillary routes has proved to be a better technique for total surgical extirpation of extensive nasopharyngeal fibroma, and it has been used already in seven cases without recurrence over a period of three years. The transmaxillary route includes removal of the middle one-third of the maxilla, i.e. the lateral, medial and posterior walls of the maxilla with the inferior turbinate bone.
D000293:Adolescent; D005350:Fibroma / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008437:Maxilla / Q000601:surgery; D008722:Methods; D009303:Nasopharyngeal Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D009364:Neoplasm Recurrence, Local; D010159:Palate / Q000601:surgery; D011183:Postoperative Complications; D011859:Radiography; D014831:Voice