Pre-auricular Subtemporal Approach for Intracranial Angiofibroma
Introduction: In around 10-20% of angiofibroma cases, the tumor penetrates the skull base to involve intracranial structures, posing difficulty in treating them surgically. Today, advancement in skull base surgery has brought about a paradigm shift, and extensive angiofibroma tumors with intracrani...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Mashhad University of Medical Sciences
2024-03-01
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| Series: | Iranian Journal of Otorhinolaryngology |
| Subjects: | |
| Online Access: | https://ijorl.mums.ac.ir/article_23912_4081a9d0bac66d8a6afce89fdd2c98fd.pdf |
| _version_ | 1797205573017534464 |
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| author | Neizekhotuo Shunyu Zareen lynrah Manu Balakrishnan Lham Dorjee Ratan Medhi |
| author_facet | Neizekhotuo Shunyu Zareen lynrah Manu Balakrishnan Lham Dorjee Ratan Medhi |
| author_sort | Neizekhotuo Shunyu |
| collection | DOAJ |
| description | Introduction:
In around 10-20% of angiofibroma cases, the tumor penetrates the skull base to involve intracranial structures, posing difficulty in treating them surgically. Today, advancement in skull base surgery has brought about a paradigm shift, and extensive angiofibroma tumors with intracranial extension are approached surgically today with minimal morbidity.
Materials and Methods:
This study was a retrospective analysis of angiofibroma with significant intracranial extension Radkowski staging IIIb from 2011 to 2021 who came to our center. There were seven children of angiofibroma with significant intracranial extension Radkowski staging IIIb, out of whom, four patients had undergone surgical resection at our center. Three patients underwent surgery by pre-auricular lateral subtemporal approach and one patient by maxillary swing approach. Preoperative embolization was done in all the patients one day before the day of operation.
Results:
Gross total removal of the tumor was achieved in all three patients who had undergone pre-auricular lateral subtemporal approach with no permanent complication. All three patients had a minimum follow-up of one year with no recurrence.
Conclusion:
The pre-auricular lateral subtemporal approach provides the shortest shallow route to the affected skull base with direct visualization of the tumor base. Hence recommended for angiofibroma with Radkowski staging IIIb. |
| first_indexed | 2024-04-24T08:53:16Z |
| format | Article |
| id | doaj.art-5f378755504744659739b6851ed5a28d |
| institution | Directory Open Access Journal |
| issn | 2251-7251 2251-726X |
| language | English |
| last_indexed | 2024-04-24T08:53:16Z |
| publishDate | 2024-03-01 |
| publisher | Mashhad University of Medical Sciences |
| record_format | Article |
| series | Iranian Journal of Otorhinolaryngology |
| spelling | doaj.art-5f378755504744659739b6851ed5a28d2024-04-16T09:04:12ZengMashhad University of Medical SciencesIranian Journal of Otorhinolaryngology2251-72512251-726X2024-03-0136240741310.22038/ijorl.2024.74214.349623912Pre-auricular Subtemporal Approach for Intracranial AngiofibromaNeizekhotuo Shunyu0Zareen lynrah1Manu Balakrishnan2Lham Dorjee3Ratan Medhi4Department of Otorhinolaryngology Head and Neck Surgery, AIIMS, Guwahati, India.Department of Otorhinolaryngology Head and Neck Surgery, NEIGRIHMS, Shillong, Meghalaya, India.Department of Otorhinolaryngology Head and Neck Surgery, NEIGRIHMS, Shillong, Meghalaya, India.Department of Otorhinolaryngology Head and Neck Surgery, NEIGRIHMS, Shillong, Meghalaya, India.Department of Otorhinolaryngology Head and Neck Surgery, NEIGRIHMS, Shillong, Meghalaya, India.Introduction: In around 10-20% of angiofibroma cases, the tumor penetrates the skull base to involve intracranial structures, posing difficulty in treating them surgically. Today, advancement in skull base surgery has brought about a paradigm shift, and extensive angiofibroma tumors with intracranial extension are approached surgically today with minimal morbidity. Materials and Methods: This study was a retrospective analysis of angiofibroma with significant intracranial extension Radkowski staging IIIb from 2011 to 2021 who came to our center. There were seven children of angiofibroma with significant intracranial extension Radkowski staging IIIb, out of whom, four patients had undergone surgical resection at our center. Three patients underwent surgery by pre-auricular lateral subtemporal approach and one patient by maxillary swing approach. Preoperative embolization was done in all the patients one day before the day of operation. Results: Gross total removal of the tumor was achieved in all three patients who had undergone pre-auricular lateral subtemporal approach with no permanent complication. All three patients had a minimum follow-up of one year with no recurrence. Conclusion: The pre-auricular lateral subtemporal approach provides the shortest shallow route to the affected skull base with direct visualization of the tumor base. Hence recommended for angiofibroma with Radkowski staging IIIb.https://ijorl.mums.ac.ir/article_23912_4081a9d0bac66d8a6afce89fdd2c98fd.pdfangiofibromaintracranialpre-auricularlateral subtemporal |
| spellingShingle | Neizekhotuo Shunyu Zareen lynrah Manu Balakrishnan Lham Dorjee Ratan Medhi Pre-auricular Subtemporal Approach for Intracranial Angiofibroma Iranian Journal of Otorhinolaryngology angiofibroma intracranial pre-auricular lateral subtemporal |
| title | Pre-auricular Subtemporal Approach for Intracranial Angiofibroma |
| title_full | Pre-auricular Subtemporal Approach for Intracranial Angiofibroma |
| title_fullStr | Pre-auricular Subtemporal Approach for Intracranial Angiofibroma |
| title_full_unstemmed | Pre-auricular Subtemporal Approach for Intracranial Angiofibroma |
| title_short | Pre-auricular Subtemporal Approach for Intracranial Angiofibroma |
| title_sort | pre auricular subtemporal approach for intracranial angiofibroma |
| topic | angiofibroma intracranial pre-auricular lateral subtemporal |
| url | https://ijorl.mums.ac.ir/article_23912_4081a9d0bac66d8a6afce89fdd2c98fd.pdf |
| work_keys_str_mv | AT neizekhotuoshunyu preauricularsubtemporalapproachforintracranialangiofibroma AT zareenlynrah preauricularsubtemporalapproachforintracranialangiofibroma AT manubalakrishnan preauricularsubtemporalapproachforintracranialangiofibroma AT lhamdorjee preauricularsubtemporalapproachforintracranialangiofibroma AT ratanmedhi preauricularsubtemporalapproachforintracranialangiofibroma |