TY - JOUR
T1 - Orbital involvement in juvenile nasopharyngeal angiofibroma
T2 - Prevalence and treatment
AU - Cruz, Antonio Augusto V.
AU - Atique, João M.C.
AU - Melo-Filho, Francisco V.
AU - Elias, Jorge
PY - 2004/7
Y1 - 2004/7
N2 - Purpose: To assess the prevalence of orbital invasion by juvenile nasoangiofibroma and to discuss its surgical treatment. Methods: A retrospective review of the medical records and tomographic scans of a case series of 19 patients with juvenile nasoangiofibroma was performed. All scans were reviewed by a radiologist and an orbital surgeon. The presence of the tumor was assessed in the pterygopalatine fossa, nasal cavity, nasopharynx, paranasal sinuses, inferior orbital fissure, orbit, and middle cranial fossa. Results: The most common structures invaded were pterygopalatine fossa (100%), nasal cavity (94.7%), sphenoid sinus (84.2%), and nasopharynx (73.7%). The orbit was invaded in 6 (31.6%) patients. In 5 of these patients, the tumor extended in the orbit through the inferior orbital fissure. Four patients with orbital invasion were successfully operated with the Le Fort I approach. Conclusions: Orbital involvement is relatively common in the setting of juvenile nasoangiofibroma extension. The main route of orbital invasion is the inferior orbital fissure. The Le Fort I osteotomy is an adequate approach for managing juvenile nasoangiofibroma when it invades the orbit.
AB - Purpose: To assess the prevalence of orbital invasion by juvenile nasoangiofibroma and to discuss its surgical treatment. Methods: A retrospective review of the medical records and tomographic scans of a case series of 19 patients with juvenile nasoangiofibroma was performed. All scans were reviewed by a radiologist and an orbital surgeon. The presence of the tumor was assessed in the pterygopalatine fossa, nasal cavity, nasopharynx, paranasal sinuses, inferior orbital fissure, orbit, and middle cranial fossa. Results: The most common structures invaded were pterygopalatine fossa (100%), nasal cavity (94.7%), sphenoid sinus (84.2%), and nasopharynx (73.7%). The orbit was invaded in 6 (31.6%) patients. In 5 of these patients, the tumor extended in the orbit through the inferior orbital fissure. Four patients with orbital invasion were successfully operated with the Le Fort I approach. Conclusions: Orbital involvement is relatively common in the setting of juvenile nasoangiofibroma extension. The main route of orbital invasion is the inferior orbital fissure. The Le Fort I osteotomy is an adequate approach for managing juvenile nasoangiofibroma when it invades the orbit.
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U2 - 10.1097/01.IOP.0000132163.00869.44
DO - 10.1097/01.IOP.0000132163.00869.44
M3 - Review article
C2 - 15266144
AN - SCOPUS:3242765444
SN - 0740-9303
VL - 20
SP - 296
EP - 300
JO - Ophthalmic plastic and reconstructive surgery
JF - Ophthalmic plastic and reconstructive surgery
IS - 4
ER -