2023Journal of Neurological Surgery Part B Skull BaseRequires access

Resection of Giant Juvenile Nasopharyngeal Angiofibroma

Lacy S. Brame, Anirrhuda Parikh, Kibwei A. McKinney

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Abstract

This is the case of a 15-year-old male who presented with a giant juvenile nasopharyngeal angiofibroma which involved the left pterygopalatine fossa, bilateral infratemporal fossae, left orbit, and clivus, with extension along the skull base. Initial resection was aborted due to massive hemorrhage. One week later, a gross total resection was performed via a Caldwell-Luc approach. A third surgery was performed to resect residual tumor within the left infratemporal fossa. This video summarizes the three surgeries. Quality: mobile 360 480 720 Download Publication History Article published online: 01 February 2023 © 2023. Thieme. All rights reserved. Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, Germany

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What this paper is about

This is the case of a 15-year-old male who presented with a giant juvenile nasopharyngeal angiofibroma which involved the left pterygopalatine fossa, bilateral infratemporal fossae, left orbit, and clivus, with extension along the skull base. Initial resection was aborted due to massive hemorrhage. One week later, a gross total resection was performed via a Caldwell-Luc approach. A third surgery was performed to resect residual tumor within the left infratemporal fossa. This video summarizes the three surgeries. Quality: mobile 360 480 720 Download Publication History Article published online: 01 February 2023 © 2023. Thieme. All rights reserved. Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, Germany

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Available abstract

This is the case of a 15-year-old male who presented with a giant juvenile nasopharyngeal angiofibroma which involved the left pterygopalatine fossa, bilateral infratemporal fossae, left orbit, and clivus, with extension along the skull base. Initial resection was aborted due to massive hemorrhage. One week later, a gross total resection was performed via a Caldwell-Luc approach. A third surgery was performed to resect residual tumor within the left infratemporal fossa. This video summarizes the three surgeries. Quality: mobile 360 480 720 Download Publication History Article published online: 01 February 2023 © 2023. Thieme. All rights reserved. Georg Thieme Verlag KG Rüdigerstraße 14, 70469 Stuttgart, Germany

Key concepts: Infratemporal fossa, Juvenile nasopharyngeal angiofibroma, Pterygopalatine fossa, Skull, Medicine, Orbit (dynamics), Angiofibroma, Resection

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