Nasopharyngeal angiofibroma in the surgical treatment.doc

 PAGE \* MERGEFORMAT 10 Nasopharyngeal angiofibroma in the surgical treatment [Keywords:] nasopharyngeal angiofibroma; nasal endoscopy; surgical treatment Nasopharyngeal angiofibroma occurs in the nasopharynx of highly vascular benign fibrosis; occurs in young men, occasionally in the menopausal female patients, because of its location deep origin, anatomical structure, complex, multi-source blood supply, often violated sphenoid sinus, ethmoid sinus, pterygopalatine fossa, infratemporal fossa, orbit, even before the middle cranial fossa, how to accurately assess the extent of the tumor, invasion, complete resection of the tumor, hand control bleeding, reduce relapse, development of individualized surgical plan to rationalize become widely colleagues concern. 1 nasopharyngeal angiofibroma staging, classification The diagnosis of nasopharyngeal angiofibroma generally rely on symptoms, signs, age, gender made a preliminary diagnosis, local tissue biopsy can confirm the diagnosis, but the risk of causing bleeding, if not row biopsy, the bleeding must be fully prepared. Patients routine examination, including cranial MRI, sinus CT scan, the highest sweep and enhanced contrast, digital angiography (DSA) correctly phased, standard stage used Sessions [1]: Ⅰ a period: tumor confined to the nasopharynx, and (or) nasal cavity; Ⅰ b of: tumor Baptist committed one or more paranasal sinuses; Ⅱ a period: the tumor dip made part of the fossa; Ⅱ b of: tumor invasion and the pterygopalatine fossa with or without orbital baptized; Ⅱ c of: tumor invasion and temporal fossa with or without cheek baptized; Ⅲ a period: tumor confined to the invasion and intracranial; Ⅲ b of: extensive invasion and intracranial tumors. Table 1 WHO in 2005 in different clinical stages of nasopharyngeal fibrous and vascular invasion and extent of Clinical stage and extent of a tumor invasion confined to the nasopharynx without bone destruction in two tumor invasion and nasal cavity, m