[The transperygoid approach to the removal of a recurrent juvenile angiofibroma at the base of the skull without preoperative embolization]

Vestn Otorinolaringol. 2017;82(3):62-65. doi: 10.17116/otorino201782362-65.
[Article in Russian]

Abstract

The authors report a clinical case of successful elimination of a recurrent juvenile angiofibroma at the base of the skull (JAFBS) with the application of the optical navigation system and a cold plasma scalpel in the absence of preoperative embolization. It has been demonstrated using the proposed transperygoid approach to the extirpation of the tumour that a recurrent juvenile angiofibroma at the base of the skull can be efficiently removed by means of a modern minimally invasive and at the same time radical surgical method.

Описано клиническое наблюдение эффективного удаления рецидива ювенильной ангиофибромы основания черепа (ЮАОЧ) с использованием оптической навигационной системы и холодно-плазменного скальпеля без предоперационной эмболизации. Транскрыловидный эндоскопический доступ демонстрирует возможность хирургического лечения рецидива ЮАОЧ, обеспечивая одновременно малоинвазивность и радикальность.

Keywords: CT-assisted navigation; angiofibroma; base of the skull; endoscopic removal; transperygoid approach.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Angiofibroma* / pathology
  • Angiofibroma* / physiopathology
  • Angiofibroma* / surgery
  • Argon Plasma Coagulation / methods
  • Humans
  • Male
  • Neoplasm Recurrence, Local / surgery*
  • Neuronavigation / methods
  • Neurosurgical Procedures / methods*
  • Reoperation / methods
  • Skull Base Neoplasms* / pathology
  • Skull Base Neoplasms* / physiopathology
  • Skull Base Neoplasms* / surgery
  • Tomography, Spiral Computed / methods
  • Treatment Outcome
  • Vascular Surgical Procedures / methods*