Title of article :
LE FORT I OSTEOTOMY APPROACH FOR ADVANCED NASOPHARYNGEAL ANGIOFIBROMA WITH INTRACRANIAL EXTENSION; REPORT OF A CASE
Author/Authors :
Naraghi, M Department of Otorhinoaryngology-Head and Neck Surgery - School of Medicine - Tehran University of Medical Sciences , Bayat, M Department of Oral and Maxillofacial Surgery - School of Medicine - Tehran University of Medical Sciences , Yahyavi, Sh Department of Otorhinoaryngology-Head and Neck Surgery - School of Medicine - Tehran University of Medical Sciences , Kashfi, A Department of Otorhinoaryngology-Head and Neck Surgery - School of Medicine - Tehran University of Medical Sciences , Karimi Yazdi, A.R Department of Otorhinoaryngology-Head and Neck Surgery - School of Medicine - Tehran University of Medical Sciences , Khorsandi, M.T Department of Otorhinoaryngology-Head and Neck Surgery - School of Medicine - Tehran University of Medical Sciences
Abstract :
Angiofibromas are the most common benign tumors of the nasopharynx. Intracranial extension has
been reported in approximately 20-25% of cases.
Intracranial extension may be difficult to treat because of
poor exposure that may lead to recurrence. A 16-year-old
male patient presented with a 6-month history of nasal
obstruction, intermittent epistaxis, right superior orbital
fissure syndrome, and proptosis. Imaging studies revealed
a large right sinonasal mass with significant intracranial
and infratemporal extensions. The tumor was resected by
Le Fort I technique because of dissatisfaction with other
approaches. Postoperative period was uneventful and
follow-up visits showed marked improvement in proptosis
and ophthalmologic symptoms, without the evidence of
tumor recurrence. Commonly used to treat facial
deformities, the Le Fort I osteotomy with downfracturing
of the entire palate has been adopted as a surgical option
in the management of some angiofibromas. Compared
with other popular techniques, it provides excellent
exposure for angiofibromas. The merits and limitations of
this approach as well as its details are discussed.
Keywords :
Le Fort I , juvenile nasopharyngeal angiofibroma , intracranial extension , otolaryngologic approaches
Journal title :
Astroparticle Physics
