Cited 18 times in
Treatment outcomes of juvenile nasopharyngeal angiofibroma according to surgical approach.
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김원식 | - |
dc.contributor.author | 김유석 | - |
dc.contributor.author | 김창훈 | - |
dc.contributor.author | 유지환 | - |
dc.contributor.author | 윤주헌 | - |
dc.contributor.author | 현동우 | - |
dc.date.accessioned | 2014-12-20T17:02:09Z | - |
dc.date.available | 2014-12-20T17:02:09Z | - |
dc.date.issued | 2011 | - |
dc.identifier.issn | 0165-5876 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/93839 | - |
dc.description.abstract | OBJECTIVE: This is a retrospective study to assess treatment outcomes according to stage and surgical approach in advanced juvenile nasopharyngeal angiofibroma (JNA). METHODS: We retrospectively evaluated 20 JNA patients diagnosed and treated at our hospital. We only enrolled advanced disease with Radkowski stages greater than I and with minimum follow-up of 1 year (range 1-8.5). RESULTS: Recurrence or remnants were observed in 7 patients out of 20 patients (35.0%) who underwent primary surgical resection of advanced JNA and the mean interval to recurrence was 15.6 months (range 6-38). A recurrence rate according to a different stage was as follows: 33.3% in stage IIa, 33.3% in stage IIb, 50.0% in stage IIc and no recurrence in stage III. An endoscopic approach was chosen in 4 patients among these patients, four were classified as stage IIb tumors, one as a stage IIc tumor, with a recurrence rate of 25.0%, but no recurrence found in stage IIa disease. A midfacial degloving approach was used in 7 patients, with a recurrence rate of 42.9% and maxillary swing approach was taken in 3 patients with complete control. Postoperative complications required interventions occurred in 14.8%, more in the invasive maxillary swing or infratemporal fossa approaches. CONCLUSIONS: Although selecting minimal invasive or invasive approaches is equivocal, we recommend using the endoscopic approach or a midfacial degloving approach for the treatment of JNA extended to the pterygopalatine fossa. For stage III, aggressive surgery is preferable to guaranty a complete resection even if postoperative complications are more frequent. For a stage IIc, we could choose between a minimally invasive approach or a more aggressive one balancing between the possibility of salvage surgery in the future and the occurrence of postoperative healing problems | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 69~73 | - |
dc.relation.isPartOf | INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Adolescent | - |
dc.subject.MESH | Adult | - |
dc.subject.MESH | Angiofibroma/pathology* | - |
dc.subject.MESH | Angiofibroma/surgery* | - |
dc.subject.MESH | Child | - |
dc.subject.MESH | Cohort Studies | - |
dc.subject.MESH | Endoscopy/methods | - |
dc.subject.MESH | Follow-Up Studies | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Nasopharyngeal Neoplasms/pathology* | - |
dc.subject.MESH | Nasopharyngeal Neoplasms/surgery* | - |
dc.subject.MESH | Neoplasm Invasiveness/pathology | - |
dc.subject.MESH | Neoplasm Recurrence, Local/surgery* | - |
dc.subject.MESH | Neoplasm Staging | - |
dc.subject.MESH | Otorhinolaryngologic Surgical Procedures/methods | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Risk Assessment | - |
dc.subject.MESH | Treatment Outcome | - |
dc.subject.MESH | Young Adult | - |
dc.title | Treatment outcomes of juvenile nasopharyngeal angiofibroma according to surgical approach. | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Otorhinolaryngology (이비인후과학) | - |
dc.contributor.googleauthor | Dong-Woo Hyun | - |
dc.contributor.googleauthor | Ji-Hwan Ryu | - |
dc.contributor.googleauthor | Yoo-Suk Kim | - |
dc.contributor.googleauthor | Kyu-Bo Kim | - |
dc.contributor.googleauthor | Won Shik Kim | - |
dc.contributor.googleauthor | Chang-Hoon Kim | - |
dc.contributor.googleauthor | Joo-Heon Yoon | - |
dc.identifier.doi | 10.1016/j.ijporl.2010.10.010 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A00765 | - |
dc.contributor.localId | A00783 | - |
dc.contributor.localId | A02604 | - |
dc.contributor.localId | A04377 | - |
dc.contributor.localId | A01050 | - |
dc.contributor.localId | A02522 | - |
dc.relation.journalcode | J01148 | - |
dc.identifier.eissn | 1872-8464 | - |
dc.identifier.pmid | 21030094 | - |
dc.identifier.url | http://www.sciencedirect.com/science/article/pii/S0165587610004775 | - |
dc.contributor.alternativeName | Kim, Won Shik | - |
dc.contributor.alternativeName | Kim, Yoo Suk | - |
dc.contributor.alternativeName | Kim, Chang Hoon | - |
dc.contributor.alternativeName | Ryu, Ji Hwan | - |
dc.contributor.alternativeName | Yoon, Joo Heon | - |
dc.contributor.alternativeName | Hyun, Dong Woo | - |
dc.contributor.affiliatedAuthor | Kim, Won Shik | - |
dc.contributor.affiliatedAuthor | Kim, Yoo Suk | - |
dc.contributor.affiliatedAuthor | Yoon, Joo Heon | - |
dc.contributor.affiliatedAuthor | Hyun, Dong Woo | - |
dc.contributor.affiliatedAuthor | Kim, Chang Hoon | - |
dc.contributor.affiliatedAuthor | Ryu, Ji Hwan | - |
dc.rights.accessRights | not free | - |
dc.citation.volume | 75 | - |
dc.citation.number | 1 | - |
dc.citation.startPage | 69 | - |
dc.citation.endPage | 73 | - |
dc.identifier.bibliographicCitation | INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY, Vol.75(1) : 69-73, 2011 | - |
dc.identifier.rimsid | 28499 | - |
dc.type.rims | ART | - |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.