Coblation-assisted endoscopic excision of juvenile nasopharyngeal angiofibroma and outcomes
Objective:To summarize the procedures and efficacy of surgical treatment for Andrew stage Ⅰ-Ⅲ juvenile nasopharyngeal angiofibroma(JNA).Methods:A total of 12 patients with JNA who underwent surgery from 2016 to 2021 were enrolled,including 1 case in stage Ⅰ,3 cases in stage Ⅱ,and 8 cases in stage Ⅲ.JNA was resected by tran-snasal endoscopic approach alone,or combined with transoral approach or Caldwell-Luc approach was performed.Re-sults:Eleven cases underwent complete resection without recurrence and 1 case had residual tumor.There were no serious complications.The median intraoperative blood loss was 200 mL,and 1 patient received blood transfusion.The median operative time was 110 minutes.Conclusion:JNA in Andrew stage Ⅰ-Ⅲ can be quickly and completely resected by stand-ardized surgical procedures using endoscopy and coblation technology.
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