This Article  • Full text PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

MARSHALL STROME, MD
Boston

Arch Otolaryngol Head Neck Surg. 1987;113(7):703.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Trevor McGill, MD, Boston, speaking at the Triological Society's Eastern Section meeting, assessed the findings concerning 14 patients with extensive angiofibromas staged IIB or III. Computed tomography proved to be the most meaningful method of preoperative study. Preoperative embolization was also used. The operative approach was uniform: an extended lateral rhinotomy with a lipsplitting incision and medial maxillectomy. Complete removal was effected in 12 patients, three of whom had involvement of the anterior cranial fossa with exposure of the optic chiasma. Two patients underwent radiation therapy. The patients were followed up for an average of 4.6 years, and there were no recurrences in the lesions that were completely excised.

This was an excellent, well-illustrated study. A midfacial degloving incision is an alternative approach and can be used in conjunction with an ethmoidectomy incision if needed.—MARSHALL STROME, MD, Boston . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?