scholarly journals Juvenile Nasopharyngeal Angiofibroma - Excision Through Lateral Rhinotomy and Sublabial Approach - A Case Report

1970 ◽  
Vol 20 (1) ◽  
pp. 78-81
Author(s):  
NK Sinha ◽  
MH Rashid ◽  
MM Shaheen ◽  
DC Talukder ◽  
MAY Fakir ◽  
...  
Keyword(s):  
Surgical Excision ◽  
Complete Removal ◽  
Definitive Treatment ◽  
Surgical Approaches ◽  
Complete Excision ◽  
Nasopharyngeal Angiofibroma ◽  
Male Adolescents ◽  
Large Size ◽  
Complete Surgical Excision ◽  
Sublabial Approach

Juvenile angiofibroma is a rare hypervascular, locally aggressive benign tumour which is exclusively found in the nose and paranasal sinuses of male adolescents. The definitive treatment for this tumour is complete surgical excision. Different surgical approaches are used for complete excision. Most recent development is excision of the tumour using endoscopes. But in certain cases with large size and different extensions, open transfacial approaches are the choice for complete removal and for less operative bleeding, which are the main challenges for surgical excision of this tumour. DOI: http://dx.doi.org/10.3329/jdmc.v20i1.8587 J Dhaka Med Coll. 2011; 20(1) :78-81

scholarly journals Radiation-Induced Sarcoma Originating in Recurrent Juvenile Nasopharyngeal Angiofibroma

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Smriti Panda ◽  
Madhu Rajeshwari ◽  
Chirom Amit Singh ◽  
Suresh C. Sharma ◽  
Pirabu Sakthivel
Keyword(s):  
Surgical Excision ◽  
Juvenile Nasopharyngeal Angiofibroma ◽  
External Beam Radiation ◽  
Definitive Treatment ◽  
Beam Radiation ◽  
Nasopharyngeal Angiofibroma ◽  
Young Males ◽  
Tumour Extension ◽  
Complete Surgical Excision ◽  
Radiation Induced

Juvenile nasopharyngeal angiofibroma is a benign disease affecting young males with a propensity to invade intracranially and into the orbit along preformed pathways. Complete surgical excision is the mainstay of management. Patients with multiple recurrences along with tumour extension into skull base and orbit can be considered for external beam radiation as either adjuvant or definitive treatment. Possibility of radiation-induced malignancy has been speculated by many authors, proof of which exists in only two studies so far. This report focuses on radiation-induced leiomyosarcoma in a patient with recurrent juvenile nasopharyngeal angiofibroma.

Four Cases of Ossifying Fibromas: A Rural Medical College Hospital Experience

2010 ◽  
Vol 3 (2) ◽  
pp. 101-102
Author(s):  
Sudhir Naik
Keyword(s):  
Case Reports ◽  
Surgical Excision ◽  
Surgical Approaches ◽  
Ossifying Fibroma ◽  
Diagnostic Dilemma ◽  
College Hospital ◽  
Complete Excision ◽  
Medical College ◽  
Complete Surgical Excision ◽  
Diagnostic Difficulties

ABSTRACT Background Ossifying fibroma is an uncommon tumor of the craniofacial skeleton presenting in several variant histopathological subtypes. Ossifying fibroma is a benign fibro-osseous lesion that commonly involves the maxilla.1 Ossifying fibromas occur predominantly in women, frequently during the 3rd and 4th decades of life.1 The overlapping clinical and histopathological features of these subtypes have led to diagnostic dilemma and confusion.1 Complete excision of this tumor has become a necessity since it is notorious for recurrence.1 Aims To study and compare the clinical profiles of various types of ossifying fibroma and also the surgical approaches to the tumor. To discuss the diagnostic difficulties and controversies associated with the tumor. Setting Medical college referral hospital. Design Case reports of 4 patients presenting to our medical college OPD. Methods Planned surgical excision based on criteria. Results Four cases of different types of ossifying fibroma were successfully treated by various surgical approaches. 42 papers related to diagnostic and treatment aspects of ossifying fibroma were studied. Conclusion The diagnostic dilemma of ossifying fibroma can be overcome with a combination of clinical, radiological and pathological criteria. Complete surgical excision of the tumor is possible when surgery is based on preplanned criteria. Combination of 2 or more surgical approaches may be necessary in many cases in order to ensure complete clearance and prevent recurrence of the tumor.

scholarly journals Orbital Schwannoma

2020 ◽  
Vol 81 (04) ◽  
pp. 376-380
Author(s):  
Mark B. Chaskes ◽  
Mindy R. Rabinowitz
Keyword(s):  
Surgical Excision ◽  
Treatment Goals ◽  
Resonance Imaging ◽  
Recurrence Rates ◽  
Complete Excision ◽  
Representative Case ◽  
Presenting Symptoms ◽  
Complete Surgical Excision ◽  
Imaging Characteristics ◽  
Magnetic Resonance Imaging Mri

AbstractOrbital schwannomas are rare neoplasms of the orbit. The presenting symptoms are often nonspecific. Classic imaging characteristics seen on magnetic resonance imaging (MRI) and orbital ultrasound can be useful to help aid in the diagnosis of orbital schwannoma. When diagnosed, the goal of treatment is complete surgical excision. The location of the tumor within the orbit dictates which surgical approach would provide the best exposure. When complete excision is achieved, recurrence rates are very low.This article addresses the etiology, patient population, presentation, natural history, and differential diagnosis of orbital schwannomas. Imaging characteristics and histopathologic subtypes are reviewed. Treatment goals, approaches, and specialties involved in the management of these patients is discussed. Finally, a representative case is presented.

A MODIFIED PERIUNGUAL APPROACH FOR TREATMENT OF SUBUNGUAL GLOMUS TUMOUR

Hand Surgery ◽  
2007 ◽  
Vol 12 (03) ◽  
pp. 217-221 ◽  
Author(s):  
S. T. Fong ◽  
Y. L. Lam ◽  
Y. C. So
Keyword(s):  
Surgical Excision ◽  
Glomus Tumour ◽  
Complete Excision ◽  
Nail Bed ◽  
Peripheral Lesion ◽  
Nail Deformity ◽  
Complete Surgical Excision ◽  
Central Lesions

Subungal glomus tumours are uncommon; the only treatment is complete surgical excision. Transungual approach is often preferred; however, secondary nail deformity may occur. Lateral periungual approach is used to avoid this complication, but this approach provides limited exposure and is used for peripheral lesion only. We describe a modified periungual approach which can be applied to central lesions. This approach can provide adequate exposure for complete excision of the subungual tumour while avoiding incision of the nail bed.

Gliomas of the optic nerve or chiasm

1988 ◽  
Vol 68 (1) ◽  
pp. 85-98 ◽  
Author(s):  
Ellsworth C. Alvord ◽  
Steven Lofton
Keyword(s):  
Optic Nerve ◽  
Growth Rates ◽  
Surgical Excision ◽  
Sufficient Information ◽  
Low Grade ◽  
Complete Excision ◽  
Content Type ◽  
Complete Surgical Excision ◽  
Table Analysis ◽  
Fine Print

✓ A review of the literature revealed 623 cases of optic gliomas with sufficient information to permit actuarial (life-table) analysis concerning the prognosis of this disease by the patients' age, tumor site, treatment, and presence of concomitant neurofibromatosis or extension into the hypothalamus or ventricle. All of these factors are important. The development of mathematical models led to the conclusion that these tumors, generally regarded histologically as low-grade astrocytomas, actually have a very wide but continuous range of growth rates. Some grow rapidly enough to be explained by simple exponential doubling at a constant rate, but most behave as though their growth decelerates. Decelerating growth rates make comparisons of various groups of patients difficult. No support is found for the classical hypothesis that some may be hamartomas. Inadequately treated gliomas of the optic nerve or chiasm bear about the same poor prognosis. However, tumors of the optic nerve (intracranial as well as intraorbital) have an excellent prognosis following complete surgical excision and only a slightly poorer prognosis following irradiation. About 5% of optic nerve gliomas recur in the chiasm following “complete” intraorbital excision. Patients with neurofibromatosis have about twice the recurrence rate following complete excision of an intraorbital glioma. Optic chiasmal gliomas appear to respond to irradiation with doses above 4500 rads. Patients with neurofibromatosis have about the same prognosis as patients without neurofibromatosis following irradiation of a chiasmal glioma.

In defence of transpalatal, transpalatal-circumaxillary (transpterygopalatine) and transpalatal-circumaxillary-sublabial approaches to lateral extensions of juvenile nasopharyngeal angiofibroma

2016 ◽  
Vol 130 (5) ◽  
pp. 462-473 ◽  
Author(s):  
A Mishra ◽  
S C Mishra ◽  
V Verma ◽  
H P Singh ◽  
S Kumar ◽  
...  
Keyword(s):  
Residual Disease ◽  
Tumour Size ◽  
Infratemporal Fossa ◽  
Pterygopalatine Fossa ◽  
Juvenile Nasopharyngeal Angiofibroma ◽  
Atrophic Rhinitis ◽  
Complete Excision ◽  
Nasopharyngeal Angiofibroma ◽  
Transpalatal Approach ◽  
Sublabial Approach

AbstractBackground:Juvenile nasopharyngeal angiofibroma often presents with lateral extensions. In countries with limited resources, selection of a cost-effective and least morbid surgical approach for complete excision is challenging.Methods:Sixty-three patients with juvenile nasopharyngeal angiofibroma, with lateral extensions, underwent transpalatal, transpalatal-circumaxillary (transpterygopalatine) or transpalatal-circumaxillary-sublabial approaches for resection. Clinico-radiological characteristics, tumour volume and intra-operative bleeding were recorded.Results:The transpalatal approach was suitable for extensions involving medial part of pterygopalatine fossa; transpalatal-circumaxillary for extensions involving complete pterygopalatine fossa, with or without partial infratemporal fossa; and transpalatal-circumaxillary-sublabial for extensions involving complete infratemporal fossa, even cheek or temporal fossa up to zygomatic arch. Haemorrhage was greatest with the transpalatal-circumaxillary-sublabial approach, followed by transpalatal approach and transpalatal-circumaxillary approach (1212, 950 and 777 ml respectively). Tumour size (volume) was greatest with the transpalatal-circumaxillary approach, followed by transpalatal-circumaxillary-sublabial approach and transpalatal approach (40, 34 and 29 mm3). There was recurrence in three cases and residual disease in two cases. Long-term morbidity included small palatal perforation (n = 1), trismus (n = 1) and atrophic rhinitis (n = 2).Conclusion:These modified techniques, performed with endoscopic assistance under hypotensive anaesthesia, without embolisation, offer a superior option over other open procedures with regard to morbidity and recurrences.

scholarly journals Duodenal Duplication Cyst in Close Proximity of Ampulla of Vater: A Surgical Challenge

2018 ◽  
Vol 7 (3) ◽  
pp. 39
Author(s):  
Nahla Kechiche ◽  
Rabeb Farhani ◽  
Rachida Lamiri ◽  
Abdelatif Nouri
Keyword(s):  
Surgical Excision ◽  
Ampulla Of Vater ◽  
Duplication Cyst ◽  
Complete Excision ◽  
Duodenal Duplication ◽  
Complete Surgical Excision ◽  
Close Proximity ◽  
Duodenal Duplication Cyst ◽  
Upper Gastrointestinal ◽  
The Ideal

Prompt preoperative diagnosis of duodenal duplication cyst is uncommon owing to its extreme rarity. The ideal treatment of intestinal duplication cyst is complete surgical excision, though in few cases, due to the proximity to the bilio-pancreatic duct, the complete excision is not possible. We herein present an infant presenting with bilious vomiting starting few days after birth. Ultrasonography and CT scan provided the diagnosis of the duplication cyst in relation to duodenum. A successful surgical management by a subtotal excision was done. Although duodenal duplication is seldom seen, it should be considered in differential diagnoses of upper gastrointestinal tract (GIT) occlusion.

scholarly journals Radio-pathological correlation of a retroperitoneal teratoma in a 2-year-old girl: a case report

2021 ◽  
Vol 7 (2) ◽  
pp. 28-31
Author(s):  
Deki Choden ◽  
Kinley Sangay Dorji ◽  
Sonam Choden
Keyword(s):  
Case Report ◽  
Surgical Excision ◽  
Abdominal Distension ◽  
Imaging Findings ◽  
Complete Excision ◽  
Palpable Mass ◽  
Retroperitoneal Teratoma ◽  
Retroperitoneal Neoplasm ◽  
Complete Surgical Excision ◽  
Retroperitoneal Tumors

ABSTRACTRetroperitoneal teratoma is a extragonadal germ cell tumor comprising 5% of all teratomas in children, and the third most common retroperitoneal neoplasm in children. This is a case report of a 2 years old girl who presented with abdominal distension and palpable mass. The imaging findings of the mass was characteristic of retroperitoneal teratoma which was confirmed by histopathology report following complete excision. Retroperitoneal tumor is an uncommon tumor in children with characteristic imaging findings. Computed tomography is mainly used to evaluate the extent of the disease. Most of the retroperitoneal tumors are benign and curable with complete surgical excision.

scholarly journals Management mature sacrococcygeal teratoma: a case report

2019 ◽  
Vol 7 (10) ◽  
pp. 3891
Author(s):  
Budiman Ritonga ◽  
Kadek Deddy Ariyanta ◽  
I. Made Darmajaya
Keyword(s):  
Surgical Excision ◽  
Sacrococcygeal Teratoma ◽  
Posterior Aspect ◽  
Complete Excision ◽  
Primary Wound Closure ◽  
Complete Surgical Excision ◽  
Pelvic Tumors ◽  
Multiple Classification ◽  
Sacrococcygeal Region ◽  
Pregnancy And Delivery

Mature sacrococcygeal teratoma (SCT) are uncommon neoplasm comprised of mixed elements derived from three germ layers. They attract attention because of their gross appearance and bizarre histology. Tumor of the sacrococcygeal region, referred to as sacrococcygeal teratomas (SCTs) in most reports, generally present in two distinct fashions: neonates with large predominately external lesions, which are detected in utero or at birth and are rarely malignant; and older infants and children who present with primarily hidden pelvic tumors with a much higher rate of malignancy. Sacrococcygeal teratomas are the most common extragonadal tumor in neonates, accounting for up to 70% of all teratomas in childhood. A 3 to 4:1 female to male ratio is generally reported. Surgical resection remains the mainstay of therapy and recurrence is rare following complete excision. A 14 years old girl was presented to us by her parents with a mass at the buttock since birth. She was delivered at home by traditional midwife after a term, unsupervised pregnancy to a 35 years old woman. Both pregnancy and delivery were uneventful. Direct rectal examination revealed a mass has displaced the recto-sigmoid anteriorly. The CT scan revealed a heterogenous mass with a solid, cystic, and multiple classification density at the anterior of coccygeus bone, and push the coccygeus to the posterior. The mass infiltrated the subcutis, and attached to the posterior aspect of rectum. A 14 years old girl presented by mature SCT since newborn comprising ectoderm, mesoderm, and endoderm tissue. She had a complete surgical excision (including coccygectomy) with primary wound closure. A complete surgical excision remains the mainstay of therapy of mature SCT.

Branchial Cleft Anomalies: Embryogenesis, Clinical Features, Diagnosis, and Management

FACE ◽  
2022 ◽  
pp. 273250162110722
Author(s):  
Hannes Prescher ◽  
Shelby L. Nathan ◽  
Bruce S. Bauer ◽  
Russell R. Reid
Keyword(s):  
Surgical Excision ◽  
Definitive Treatment ◽  
Review Of The Literature ◽  
Complete Surgical Excision ◽  
Branchial Arches ◽  
Branchial Cleft Anomalies ◽  
The Face ◽  
Branchial Cleft ◽  
Diagnostic Modalities ◽  
Anatomic Locations

Branchial cleft anomalies are congenital head and neck lesions that arise from incomplete maturation of the branchial apparatus during fetal development. The branchial arches are the precursors of the face, neck and pharynx, and disturbances in embryogenesis can present clinically as cysts, sinus tracts, and fistulas in predictable anatomic locations. However, there remains controversy regarding the precise embryogenesis of branchial cleft anomalies with several competing theories. These lesions often evade diagnosis in early childhood and may present in a delayed fashion after multiple failed interventions. Various diagnostic modalities have been described to facilitate clinical workup. Definitive treatment is complete surgical excision of the lesion. We present a comprehensive review of the literature along with several illustrative cases that highlight the unique challenges of diagnosis and surgical management of branchial cleft anomalies.

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