鼻咽腔血管線維腫再発例　　Ｌｅ　Ｆｏｒｔ　Ｉ型骨切り術による治療

DOI 被引用文献4件 参考文献15件

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タイトル別名
  • Relapsing Juvenile Nasopharyngeal Angiofibroma Treated by Le Fort I Osteotomy.
  • ―Le Fort I型骨切り術による治療―

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Juvenile nasopharyngeal angiofibroma is a benign tumor with rich blood flow, usually observed in young males. Though it should be excised surgically, the operation requires a broad operation field to achieve less blood loss, and a functionally and cosmetically sound method. Here, we report an extensively relapsing juvenile nasopharyngeal angiofibroma, excised with midfacial degloving and Le Fort I osteotomy.<br>A 16-year-old boy was admitted to our hospital with a right side relapsing juvenile nasopharyngeal angiofibroma. The tumor extended to the infratemporal fossa, sphenopalatine fossa, paranasal sinus and the nasopharynx. Preoperative embolization of the feeding artery could not be performed because his right external carotid artery was ligated in a previous operation 1 year earlier. We performed a midfacial degloving and a Le Fort I osteotomy. The tumor was completely excised. Blood loss was 2250g, and no scar was noted on his face.

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