Titlebook: Juvenile Angiofibroma; Siba P. Dubey,Bernhard Schick Book 2017 Springer International Publishing Switzerland 2017 Nasopharyngeal Angiofibr

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Staging Systems and Their Useem or the Andrews–Fisch system were the most popular in use. These systems have been recognized as the comprehensive, practical, and applicable guide to surgical approach and prediction of outcome. UPMC system is based on current advances in surgical technique and imaging; its applicability needs to be ascertained in the future.

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Embolization of Juvenile Angiofibromasies a minimal risk for permanent neurologic morbidity and no mortality. To achieve this goal, a thorough pretherapeutic tumor evaluation by imaging techniques, a detailed angiographic workup, and the application of appropriate embolization techniques, which are described in detail, are necessary.

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Endoscopic Excision of Advanced Tumor with Skull Base Involvementextension. A staged approach with excision of vascular territories of the tumor allows safe resection with minimal morbidity. There is a higher risk of residual tumor with advanced juvenile angiofibroma with skull base involvement, but not all patients require further surgery. Radiation therapy can

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Excision by Midfacial Degloving Approachncisions. Sublabial incision is extended between maxillary first molars and beyond and round the maxillary tuberosity in the pathological side. Subsequently, soft tissue over the nasomaxillary skeleton is elevated in subperiosteal plane. Infraorbital nerve and lacrimal sac are sectioned. With the he

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Modified Transpalatal Approach and Total Maxillary Swing ApproachOMP) flap approach. During the procedure the hard palate and, if necessary, the soft palate are reflected like a “lid,” thereby opening up the nasal cavity and nasopharynx. This provides excellent view of the tumor and helps to coagulate the feeding vessels. In contrast to the conventional procedure

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