title: Endoscopic assisted sublabial and buccolabial incision approach for juvenile nasopharyngeal angiofibroma with extensive infratemporal fossa extension.
abstract: OBJECTIVE
  The aim of this study is to evaluate endoscopic assisted sublabial and buccolabial incision approach as treatment option for Juvenile nasopharyngeal angiofibroma (JNA) with extensive infratemporal fossa (ITF) extension.
  
  
  METHODS
  Seven patients diagnosed as JNA with extensive ITF extension and underwent surgery at our department between 2006 and 2010 were retrospectively reviewed. All patients underwent diagnostic arteriography followed by embolization preoperatively and intratumor injection with N-butyl cyanoacrylate (NBCA). Endoscopic assisted sublabial and buccolabial incision approach was used to remove the tumors.
  
  
  RESULTS
  Complete resections of the tumors were achieved in all patients. Mean blood loss was 700 ml. The follow-up period ranged from 9 to 20 months, with a mean of 14.3 months. One patient had a recurrent tumor six months after operation.
  
  
  CONCLUSIONS
  Endoscopic assisted sublabial and buccolabial incision is an optional approach to remove JNA with extensive ITF extension.
authors: Department of Otolaryngology-Head and Neck Surgery, Affiliated Eye Ear Nose and Throat Hospital, Fudan University, Shanghai, China.
authors: Xi-Cai
authors: XC
authors: Sun
authors: Han
authors: H
authors: Li
authors: Zhuo-Fu
authors: ZF
authors: Liu
authors: Li
authors: L
authors: Hu
authors: Hua-Peng
authors: HP
authors: Yu
authors: Jing-Jing
authors: JJ
authors: Wang
authors: Quan
authors: Q
authors: Liu
authors: Juan
authors: J
authors: Liu
authors: De-Hui
authors: DH
authors: Wang
mesh_terms: D000293:Adolescent; D018322:Angiofibroma / Q000473:pathology / Q000601:surgery*; D016063:Blood Loss, Surgical; D002648:Child; D004621:Embolization, Therapeutic; D004659:Enbucrilate / Q000008:administration & dosage; D004724:Endoscopy / Q000379:methods*; D006801:Humans; D007267:Injections; D008297:Male; D009303:Nasopharyngeal Neoplasms / Q000473:pathology / Q000601:surgery*; D009361:Neoplasm Invasiveness; D012189:Retrospective Studies; D013701:Temporal Bone / Q000473:pathology / Q000601:surgery*
chemical_list: D004659:Enbucrilate