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July 1987

Angiofibroma of the Nasopharynx and Contiguous Areas

Arch Otolaryngol Head Neck Surg. 1987;113(7):703. doi:10.1001/archotol.1987.01860070017005

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Trevor McGill, MD, Boston, speaking at the Triological Society's Eastern Section meeting, assessed the findings concerning 14 patients with extensive angiofibromas staged IIB or III. Computed tomography proved to be the most meaningful method of preoperative study. Preoperative embolization was also used. The operative approach was uniform: an extended lateral rhinotomy with a lipsplitting incision and medial maxillectomy. Complete removal was effected in 12 patients, three of whom had involvement of the anterior cranial fossa with exposure of the optic chiasma. Two patients underwent radiation therapy. The patients were followed up for an average of 4.6 years, and there were no recurrences in the lesions that were completely excised.

This was an excellent, well-illustrated study. A midfacial degloving incision is an alternative approach and can be used in conjunction with an ethmoidectomy incision if needed.—Marshall Strome, MD, Boston

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