비인강 혈관섬유종에 대한 비내 내시경 제거술:고식적 수술법과의 비교

장용주; 이석기; 박수경; 이봉재; 정유삼

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자료유형: 학술저널

저자정보: 장용주 이석기 박수경 이봉재 정유삼

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제48권 제8호

발행연도: 2005.1

수록면: 986 - 990 (5page)

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연구결과

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Background and Objectives：With the improvement in endoscopic sinus surgery skills, most benign tumors of the sino-nasal tract as well as chronic sinusitis are managed with the endonasal endoscopic technique. We have applied endoscopic surgery for juvenile nasopharyngeal angiofibroma (JNA) since 1996. Endonasal endoscopic removal was compared with conventional surgery in the aspect of morbidity, operating time, admission period, and postoperative complications. Materials and Method： Nineteen cases of JNA had been operated by the first author at the Asan Medical Center between 1991 and 2004. Retrospective study was performed with medical records and imaging studies for tumor staging, surgical methods, operation time, and surgical results. Of 19 cases, endonasal endoscopic removal (EER) was applied in 12 cases. EER was compared with conventional surgery (medial maxillectomy). Results：Operation time (55±13.1 minutes) and hospitalization periods (5±1.3 days) in the cases of EER were shorter than those of conventional surgery (16548.2 minutes, 100.9 days, respectively, p<0.05). Bleeding amount estimated with differences between preoperative and postoperative hemoglobin levels was smaller in EER (-0.91.2 g/dL) than in conventional surgery (-2.41.4 g/dL, p<0.05). Conclusion：Fleshy consistency, encapsulation, and benign nature of JNA enable en bloc removal through endonasal endoscopic approach. EER has many advantages over conventional surgery regarding operation time, recovery time, and bleeding amount as well as cosmetic and functional merits.

#혈관섬유종·비인강·내시경 수술. #Angiofibroma·Nasopharynx·Endoscopic surgery.

참고문헌 (18)

참고문헌 신청

/ 1981 / Radiographicstaging of juvenile angiofibroma 3 : 279 ~ 83

/ 1996 / Transnasal endoscopic surgery in juvenile nasopharyngealangiofibroma 110 : 962 ~ 8

/ 1997 / Eight cases of nasopharyngealangiofibromas 40 : 1501 ~ 5

/ 1997 / Immunohistochemical and electron microscopical characterization ofstromal cells in nasopharyngeal angiofibroma 254 : 196 ~ 9

/ 1998 / A case of spontaneous regression ofnasal angiofibroma 41 : 270 ~ 3

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