Recurrence and Its Avoidance in Juvenile Angiofibroma
Objective Angiofibroma is a highly vascular lesion for which a wide range of surgical approaches has been recommended. Irrespective of the approach, a significant and often rapid recurrence rate is reported in all major series. Aim To consider the impact of lessons learned from imaging on the recurr...
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| Veröffentlicht in: | The Laryngoscope 2001-09, Vol.111 (9), p.1509-1511 |
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| container_title | The Laryngoscope |
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| creator | Howard, David J. Lloyd, Glyn Lund, Valerie |
| description | Objective Angiofibroma is a highly vascular lesion for which a wide range of surgical approaches has been recommended. Irrespective of the approach, a significant and often rapid recurrence rate is reported in all major series.
Aim To consider the impact of lessons learned from imaging on the recurrence rate of angiofibroma.
Material and Methods From a cohort of 90 male patients with histologically proven angiofibroma, 40 individuals were studied. The recurrence rate in 20 cases treated before March 1998 was compared with that in 19 cases treated thereafter. In the latter group, an additional exploration of the basisphenoid had been undertaken.
Results The two cohorts were comparable in age range (7–27 y and 11–24 years, respectively), and all had been treated by midfacial degloving. In the first group, 8 recurrences occurred which were multiple in 1 patient. In the next 19 patients, the area of the pterygoid canal was meticulously explored and the basisphenoid drilled to remove all residual tumor. No recurrences have occurred in this group during a follow‐up of between 6 months to 3 years.
Conclusion Meticulous removal of angiofibroma infiltrating the pterygoid canal and basisphenoid is paramount to avoid “recurrence.” |
| doi_str_mv | 10.1097/00005537-200109000-00003 |
| format | Article |
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Aim To consider the impact of lessons learned from imaging on the recurrence rate of angiofibroma.
Material and Methods From a cohort of 90 male patients with histologically proven angiofibroma, 40 individuals were studied. The recurrence rate in 20 cases treated before March 1998 was compared with that in 19 cases treated thereafter. In the latter group, an additional exploration of the basisphenoid had been undertaken.
Results The two cohorts were comparable in age range (7–27 y and 11–24 years, respectively), and all had been treated by midfacial degloving. In the first group, 8 recurrences occurred which were multiple in 1 patient. In the next 19 patients, the area of the pterygoid canal was meticulously explored and the basisphenoid drilled to remove all residual tumor. No recurrences have occurred in this group during a follow‐up of between 6 months to 3 years.
Conclusion Meticulous removal of angiofibroma infiltrating the pterygoid canal and basisphenoid is paramount to avoid “recurrence.”</description><identifier>ISSN: 0023-852X</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1097/00005537-200109000-00003</identifier><identifier>PMID: 11568597</identifier><identifier>CODEN: LARYA8</identifier><language>eng</language><publisher>Hoboken, NJ: John Wiley & Sons, Inc</publisher><subject>Adolescent ; Adult ; Angiofibroma - diagnosis ; Angiofibroma - surgery ; Biological and medical sciences ; Child ; Dissection - methods ; Endoscopy ; Follow-Up Studies ; Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics ; Humans ; imaging ; Juvenile angiofibroma ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Nasopharyngeal Neoplasms - diagnosis ; Nasopharyngeal Neoplasms - surgery ; Neoplasm Recurrence, Local - diagnosis ; Neoplasm Recurrence, Local - prevention & control ; Neoplasm Recurrence, Local - surgery ; Non tumoral diseases ; Otorhinolaryngology. Stomatology ; Pterygoid Muscles - surgery ; recurrence ; Sphenoid Bone - surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the upper aerodigestive tract ; Tomography, X-Ray Computed ; Treatment Outcome ; Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</subject><ispartof>The Laryngoscope, 2001-09, Vol.111 (9), p.1509-1511</ispartof><rights>Copyright © 2001 The Triological Society</rights><rights>2002 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5063-14720a73126877ded652e82c59e227743016f318844b0cfbec41213489a4f22a3</citedby><cites>FETCH-LOGICAL-c5063-14720a73126877ded652e82c59e227743016f318844b0cfbec41213489a4f22a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1097%2F00005537-200109000-00003$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1097%2F00005537-200109000-00003$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>309,310,314,780,784,789,790,1417,23930,23931,25140,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14065083$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11568597$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Howard, David J.</creatorcontrib><creatorcontrib>Lloyd, Glyn</creatorcontrib><creatorcontrib>Lund, Valerie</creatorcontrib><title>Recurrence and Its Avoidance in Juvenile Angiofibroma</title><title>The Laryngoscope</title><addtitle>The Laryngoscope</addtitle><description>Objective Angiofibroma is a highly vascular lesion for which a wide range of surgical approaches has been recommended. Irrespective of the approach, a significant and often rapid recurrence rate is reported in all major series.
Aim To consider the impact of lessons learned from imaging on the recurrence rate of angiofibroma.
Material and Methods From a cohort of 90 male patients with histologically proven angiofibroma, 40 individuals were studied. The recurrence rate in 20 cases treated before March 1998 was compared with that in 19 cases treated thereafter. In the latter group, an additional exploration of the basisphenoid had been undertaken.
Results The two cohorts were comparable in age range (7–27 y and 11–24 years, respectively), and all had been treated by midfacial degloving. In the first group, 8 recurrences occurred which were multiple in 1 patient. In the next 19 patients, the area of the pterygoid canal was meticulously explored and the basisphenoid drilled to remove all residual tumor. No recurrences have occurred in this group during a follow‐up of between 6 months to 3 years.
Conclusion Meticulous removal of angiofibroma infiltrating the pterygoid canal and basisphenoid is paramount to avoid “recurrence.”</description><subject>Adolescent</subject><subject>Adult</subject><subject>Angiofibroma - diagnosis</subject><subject>Angiofibroma - surgery</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Dissection - methods</subject><subject>Endoscopy</subject><subject>Follow-Up Studies</subject><subject>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</subject><subject>Humans</subject><subject>imaging</subject><subject>Juvenile angiofibroma</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nasopharyngeal Neoplasms - diagnosis</subject><subject>Nasopharyngeal Neoplasms - surgery</subject><subject>Neoplasm Recurrence, Local - diagnosis</subject><subject>Neoplasm Recurrence, Local - prevention & control</subject><subject>Neoplasm Recurrence, Local - surgery</subject><subject>Non tumoral diseases</subject><subject>Otorhinolaryngology. Stomatology</subject><subject>Pterygoid Muscles - surgery</subject><subject>recurrence</subject><subject>Sphenoid Bone - surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the upper aerodigestive tract</subject><subject>Tomography, X-Ray Computed</subject><subject>Treatment Outcome</subject><subject>Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</subject><issn>0023-852X</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkM1O3DAURi3UCoafV0DZtLsUX9s3tpejKUxBo1aipQU2lsdxKreZBOwJlLevw0xhW28sfzr3u9YhpAD6AaiWJzQfRC5LRmkO8qscI75DJoAcSqE1viETShkvFbLrPbKf0q_MSo50l-wBYKVQywnBS--GGH3nfGG7ujhfp2L60IfajknoiovhwXeh9cW0-xn6Jixjv7KH5G1j2-SPtvcBuTo7_Tb7VC6-zM9n00XpkFa8BCEZtZIDq5SUta8rZF4xh9ozJqXgFKqGg1JCLKlrlt4JYMCF0lY0jFl-QN5veu9ifz_4tDarkJxvW9v5fkhGAmiJWmVQbUAX-5Sib8xdDCsbnwxQMyoz_5SZF2XPEc-jx9sdw3Ll69fBraMMvNsCNjnbNjGrCemVE7RCqsaijxvuMet6-u8PmMX08gZRAIzpWFNuakJa-z8vNTb-NpXkEs2Pz3Nz-32m6fzrrbngfwHO5pJs</recordid><startdate>200109</startdate><enddate>200109</enddate><creator>Howard, David J.</creator><creator>Lloyd, Glyn</creator><creator>Lund, Valerie</creator><general>John Wiley & Sons, Inc</general><general>Wiley-Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>200109</creationdate><title>Recurrence and Its Avoidance in Juvenile Angiofibroma</title><author>Howard, David J. ; Lloyd, Glyn ; Lund, Valerie</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5063-14720a73126877ded652e82c59e227743016f318844b0cfbec41213489a4f22a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Angiofibroma - diagnosis</topic><topic>Angiofibroma - surgery</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Dissection - methods</topic><topic>Endoscopy</topic><topic>Follow-Up Studies</topic><topic>Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics</topic><topic>Humans</topic><topic>imaging</topic><topic>Juvenile angiofibroma</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Nasopharyngeal Neoplasms - diagnosis</topic><topic>Nasopharyngeal Neoplasms - surgery</topic><topic>Neoplasm Recurrence, Local - diagnosis</topic><topic>Neoplasm Recurrence, Local - prevention & control</topic><topic>Neoplasm Recurrence, Local - surgery</topic><topic>Non tumoral diseases</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Pterygoid Muscles - surgery</topic><topic>recurrence</topic><topic>Sphenoid Bone - surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the upper aerodigestive tract</topic><topic>Tomography, X-Ray Computed</topic><topic>Treatment Outcome</topic><topic>Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Howard, David J.</creatorcontrib><creatorcontrib>Lloyd, Glyn</creatorcontrib><creatorcontrib>Lund, Valerie</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Howard, David J.</au><au>Lloyd, Glyn</au><au>Lund, Valerie</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Recurrence and Its Avoidance in Juvenile Angiofibroma</atitle><jtitle>The Laryngoscope</jtitle><addtitle>The Laryngoscope</addtitle><date>2001-09</date><risdate>2001</risdate><volume>111</volume><issue>9</issue><spage>1509</spage><epage>1511</epage><pages>1509-1511</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><coden>LARYA8</coden><abstract>Objective Angiofibroma is a highly vascular lesion for which a wide range of surgical approaches has been recommended. Irrespective of the approach, a significant and often rapid recurrence rate is reported in all major series.
Aim To consider the impact of lessons learned from imaging on the recurrence rate of angiofibroma.
Material and Methods From a cohort of 90 male patients with histologically proven angiofibroma, 40 individuals were studied. The recurrence rate in 20 cases treated before March 1998 was compared with that in 19 cases treated thereafter. In the latter group, an additional exploration of the basisphenoid had been undertaken.
Results The two cohorts were comparable in age range (7–27 y and 11–24 years, respectively), and all had been treated by midfacial degloving. In the first group, 8 recurrences occurred which were multiple in 1 patient. In the next 19 patients, the area of the pterygoid canal was meticulously explored and the basisphenoid drilled to remove all residual tumor. No recurrences have occurred in this group during a follow‐up of between 6 months to 3 years.
Conclusion Meticulous removal of angiofibroma infiltrating the pterygoid canal and basisphenoid is paramount to avoid “recurrence.”</abstract><cop>Hoboken, NJ</cop><pub>John Wiley & Sons, Inc</pub><pmid>11568597</pmid><doi>10.1097/00005537-200109000-00003</doi><tpages>3</tpages></addata></record> |
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| ispartof | The Laryngoscope, 2001-09, Vol.111 (9), p.1509-1511 |
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| subjects | Adolescent Adult Angiofibroma - diagnosis Angiofibroma - surgery Biological and medical sciences Child Dissection - methods Endoscopy Follow-Up Studies Head and neck surgery. Maxillofacial surgery. Dental surgery. Orthodontics Humans imaging Juvenile angiofibroma Magnetic Resonance Imaging Male Medical sciences Nasopharyngeal Neoplasms - diagnosis Nasopharyngeal Neoplasms - surgery Neoplasm Recurrence, Local - diagnosis Neoplasm Recurrence, Local - prevention & control Neoplasm Recurrence, Local - surgery Non tumoral diseases Otorhinolaryngology. Stomatology Pterygoid Muscles - surgery recurrence Sphenoid Bone - surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the upper aerodigestive tract Tomography, X-Ray Computed Treatment Outcome Upper respiratory tract, upper alimentary tract, paranasal sinuses, salivary glands: diseases, semeiology |
| title | Recurrence and Its Avoidance in Juvenile Angiofibroma |
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