Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2016
Endoscopic Radiofrequency Ablation-Assisted Resection of Juvenile Nasopharyngeal Angiofibroma: Comparison with Traditional Endoscopic Technique.
Сравнительное исследованиеСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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McLaughlin Eamon J, Cunningham Michael J, Kazahaya Ken, Hsing Julianna, Kawai Kosuke, Adil Eelam A
Аннотация
OBJECTIVES: To evaluate the feasibility of radiofrequency surgical instrumentation for endoscopic resection of juvenile nasopharyngeal angiofibroma (JNA) and to test the hypothesis that endoscopic radiofrequency ablation-assisted (RFA) resection will have superior intraoperative and/or postoperative outcomes as compared with traditional endoscopic (TE) resection techniques.
STUDY DESIGN: Case series with chart review.
SETTING: Two tertiary care pediatric hospitals.
SUBJECTS AND METHODS: Twenty-nine pediatric patients who underwent endoscopic transnasal resection of JNA from January 2000 to December 2014.
RESULTS: Twenty-nine patients underwent RFA (n = 13) or TE (n = 16) JNA resection over the 15-year study period. Mean patient age was not statistically different between the 2 groups (P = .41); neither was their University of Pittsburgh Medical Center classification stage (P = .79). All patients underwent preoperative embolization. Mean operative times were not statistically different (P = .29). Mean intraoperative blood loss and the need for a transfusion were also not statistically different (P = .27 and .47, respectively). Length of hospital stay was not statistically different (P = .46). Recurrence rates did not differ between groups (P = .99) over a mean follow-up period of 2.3 years.
CONCLUSION: There were no significant differences between RFA and TE resection in intraoperative or postoperative outcome parameters.
STUDY DESIGN: Case series with chart review.
SETTING: Two tertiary care pediatric hospitals.
SUBJECTS AND METHODS: Twenty-nine pediatric patients who underwent endoscopic transnasal resection of JNA from January 2000 to December 2014.
RESULTS: Twenty-nine patients underwent RFA (n = 13) or TE (n = 16) JNA resection over the 15-year study period. Mean patient age was not statistically different between the 2 groups (P = .41); neither was their University of Pittsburgh Medical Center classification stage (P = .79). All patients underwent preoperative embolization. Mean operative times were not statistically different (P = .29). Mean intraoperative blood loss and the need for a transfusion were also not statistically different (P = .27 and .47, respectively). Length of hospital stay was not statistically different (P = .46). Recurrence rates did not differ between groups (P = .99) over a mean follow-up period of 2.3 years.
CONCLUSION: There were no significant differences between RFA and TE resection in intraoperative or postoperative outcome parameters.