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

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Juvenile Angiofibroma and Eyedestruction of the medial orbital wall, optic canal, chiasmatic–sellar region, clivus, etc. In addition, juvenile angiofibroma may also invade the eye through the inferior orbital fissure. According to the abovementioned reasons, there are a series of eye symptoms and signs among which exophthalmos
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Radiological Diagnosishe diagnosis. The characteristic features of JA on cross-sectional imaging together with specialised MR and CT techniques currently used are delineated in this chapter. The growth patterns of the tumor (which vary from patient to patient) are described, being of some importance in surgical planning
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Endoscopic Surgery of Juvenile Angiofibromaion of complications and intraoperative bleeding with minimal risk of residual disease. The advent of endoscopic surgery has revolutionized the management of JA, which was traditionally based on a wide array of external approaches. Endonasal endoscopic resection is currently adopted as a safe and ef
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Endoscopic Excision of Advanced Tumor with Skull Base Involvementd from the intracranial circulation. Tumor infiltration of the pterygoid base encompasses the pterygoid canal and derives blood supply from branches of the internal carotid artery (ICA), most commonly the vidian artery and branches from the cavernous segment. Large tumors may surround the petrous an
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Excision by Midfacial Degloving Approachon of the tumor. The use of a midfacial degloving approach allows a good uni- or bilateral exposure of maxillary area and avoids several adverse functional and aesthetic sequelae associated to open approaches. Because of the modular design of the facial translocation approach, it accommodates the su
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Modified Transpalatal Approach and Total Maxillary Swing Approach within the confines of the anterior and middle skull base. Repeat surgical procedure to remove regrowth from residual tumor is difficult and it results in high morbidity. The ease and complete onetime removal depends on perfect exposure. Excellent visualization and unhindered surgical manipulation
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