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Original ArticleOpen Access
A Result of Sublabial Transnasomaxillary Approach for Nasopharyngeal Angiofibroma -Retrospective Study
To evaluate the result of sub labial transnasomaxillary approach (ST A) as a route for
removal of juvenile nasopharyngeal angiofibroma (JNA). Eleven young male patients with angiofibroma
underwent removal via the sublabial transnasomaxillary approach. This technique is described
in detail. There was neither major operative nor postoperative complication. One patient
developed dacryocystitis. Long term follow-up longer than 18 months in 5 patients, showed no
recurrence. This technique is useful for removal of angiofibroma because it enables the surgeon to
gain extensive exposure of maxillary, ethmoid and sphenoid sinuses and to control sphenopalatine
and internal maxillary arteries, without risk of palatal dysfunction or of oronasal fistula. Other
advantages comprise the lack of a facial scar, nasal septal scar and bilateral premaxillar numbness,
and good postoperative assessment.
Key word : Nasopharyngeal Angiofibroma, Sublabial Transnasomaxillary Approach
removal of juvenile nasopharyngeal angiofibroma (JNA). Eleven young male patients with angiofibroma
underwent removal via the sublabial transnasomaxillary approach. This technique is described
in detail. There was neither major operative nor postoperative complication. One patient
developed dacryocystitis. Long term follow-up longer than 18 months in 5 patients, showed no
recurrence. This technique is useful for removal of angiofibroma because it enables the surgeon to
gain extensive exposure of maxillary, ethmoid and sphenoid sinuses and to control sphenopalatine
and internal maxillary arteries, without risk of palatal dysfunction or of oronasal fistula. Other
advantages comprise the lack of a facial scar, nasal septal scar and bilateral premaxillar numbness,
and good postoperative assessment.
Key word : Nasopharyngeal Angiofibroma, Sublabial Transnasomaxillary Approach
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