Extended osteoplastic maxillotomy for total excision of giant multicompartmental juvenile nasopharyngeal angiofibroma.
Juvenile nasopharyngeal angiofibroma (JNA) is a rare vascular neoplasm occurring almost exclusively in adolescent males. Although benign, it is often locally aggressive and can erode into surrounding tissues and structures resulting in significant morbidity and mortality. In 20% of cases, there is intracranial extension. In this paper, we report on the total excision of a large, recurrent JNA with intracranial extension into the middle cranial fossa encroaching into the cavernous sinus, by right temporal craniotomy and extended osteoplastic maxillotomy.
Koshy
Santosh
S
Department of Dental and Oral Surgery, Christian Medical College, Vellore, India. sanju@cmcvellore.ac.in
George
Mercy
M
Gupta
Ashish
A
Daniel
Roy T
RT
D000293:Adolescent; D018322:Angiofibroma / Q000601:surgery*; D035301:Cranial Fossa, Middle / Q000601:surgery; D003399:Craniotomy / Q000379:methods; D006801:Humans; D008297:Male; D008437:Maxilla / Q000601:surgery*; D009303:Nasopharyngeal Neoplasms / Q000601:surgery*; D009361:Neoplasm Invasiveness; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D009669:Nose Neoplasms / Q000601:surgery; D010027:Osteotomy / Q000379:methods*; D010159:Palate / Q000601:surgery; D010255:Paranasal Sinus Neoplasms / Q000601:surgery; D013101:Sphenoid Sinus / Q000601:surgery