Craniofacial resection of advanced juvenile XXXX .

@entity1 @entity1018 @entity932 @entity64 @entity190 @entity5 @entity809 @entity409 @entity18871
OBJECTIVE: To describe the results of a craniofacial approach to resection of stage IIIB juvenile @entity18871 , performed by an integrated skull base surgical team. DESIGN: A retrospective case-series review was conducted with postoperative follow-up ranging from 28 to 63 months. SETTING: Operations were performed at a tertiary medical center. @entity1 : A referred sample of 5 male @entity1 , ranging in age from 10 to 23 years (mean, 15 years). INTERVENTIONS: All @entity1 underwent resection of nasopharyngeal angiofibromas with @entity932 . The procedure involved an infratemporal fossa approach via zygomatic osteotomy and subtemporal craniectomy. Anterior exposure was gained through a standard facial translocation. Dissection of the cavernous carotid artery was required in 3 @entity1 . MAIN OUTCOME MEASURES: Intraoperative and postoperative morbidity. RESULTS: The average operating time was 12 hours 47 minutes. Estimated @entity190 ranged from 700 to 1750 mL (mean, 1120 mL), with 2 @entity1 requiring intraoperative transfusion. @entity1 were hospitalized for a mean duration of 5.6 days. Long-term morbidity includes @entity809 , nasal crusting, and malodorous nasal discharge. No @entity1 sustained @entity64 , @entity409 , @entity1018 . At most recent follow-up, which ranges from 28 to 63 months, @entity5 recurrence has been confirmed in 1 @entity1 . CONCLUSIONS: A combined craniofacial approach is appropriate for juvenile @entity18871 that extends intracranially. @entity5 removal with acceptable morbidity can be expected.
