ARAN - Access to Research at NUI Galway

Endoscopic resection of nasopharyngeal angiofibroma: The role of radio-frequency coblation

ARAN - Access to Research at NUI Galway

Show simple item record Ali, Rohana Keogh, Ivan Lang, John 2012-10-02T09:23:35Z 2012-10-02T09:23:35Z 2011-08-29
dc.identifier.citation R. Ali, I. Keogh, J. Lang (2011) 'Endoscopic resection of nasopharyngeal angiofibroma: The role of radio-frequency coblation'. Surgical Techniques Development, Vol 1:e13 (e13):29-30. en_US
dc.identifier.issn 2038-9582
dc.description Journal article en_US
dc.description.abstract Nasopharyngeal angiofibromas are histologically benign but locally aggressive vascular tumors that can result in major morbidity and mortality. They exclusively affect adolescent male and are rare in patients older than 25 years. The management of nasopharyngeal angiofibroma is primarily surgical. Most small and medium sized tumors are resected endoscopically with a microdebrider. Our presentation demonstrates the role of radio-frequency coblation in the endoscopic management of angiofibroma that is confined to the nasal cavity, nasopharynx and paranasal sinuses. Through a brief video presentation, viewers will be able to appreciate the role of this instrument. We reviewed the case of an adult male patient who presented to our institute with nasopharyngeal angiofibroma. He underwent pre-operative embolization followed by endoscopic coblation of the tumor. A video demonstration is presented of a patient with nasopharyngeal angiofibroma who underwent successful transnasal endoscopic coblation. The coblator was used to resect the tumour attachment at the posterior end of the middle turbinate and the nasopharynx. The tumor was resected en-bloc and pushed into the oropharynx and eventually removed trans-orally. The natural ostium of the sphenoid sinus was enlarged and the residual tumor was removed. Absorbable nasal packing was inserted for haemostasis. Intra-operative bleeding was negligible. Radio-frequency coblation has a definite role in the endoscopic resection of small and medium sized nasopharyngeal angiofibroma. This technique is easy to learn and is extremely efficient. Tumors can be removed with minimal or no damage to surrounding tissues and intra-operative bleeding is negligible. en_US
dc.language.iso en en_US
dc.publisher PagePress en_US
dc.relation.ispartof Surgical Techniques Illustrated en
dc.subject Radio-frequency coblation en_US
dc.subject Nasopharyngeal angiofibroma en_US
dc.subject Endoscopic resection en_US
dc.title Endoscopic resection of nasopharyngeal angiofibroma: The role of radio-frequency coblation en_US
dc.type Article en_US 2012-09-26T11:16:18Z
dc.identifier.doi 10.4081/std.2011.e13
dc.local.publishedsource en_US
dc.description.peer-reviewed peer-reviewed
dc.contributor.funder |~|
dc.internal.rssid 2450704 Ivan James Keogh, Ear, Nose & Throat Outpatience, University College Hospital, Galway. Email:
dc.local.copyrightchecked Yes
dc.local.version ACCEPTED

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