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Otolaryngology Online Journal | ISSN: 2250-0359 | Volume 9
September 05-06, 2019 | London, UK
7th International Conference on
2nd International Conference on
Otolaryngology: ENT Surgery
Dental Health and Oral Hygiene
Joint Event
&
Angiofibroma (JNA) is a benign but locally invasive, highly
vascular tumour which affects young boys around
puberty. Endoscopic excision of this tumour is now a widely
accepted mode of treatment.
This lecture details the recent advances in surgical techniques
which can be used to excise large tumours with far lateral
extensions. Two new techniques are described: 1) The Push-
Pull approach and 2) The Four-Port approach
The Push-Pull technique uses two ports – an Endonasal port
and a Trans-oral port to dissect and deliver large tumours from
the infra-temporal fossa. The Four- Port Technique is a further
refinement of the Push-Pull technique. In this technique the
surgeon uses four separate ports to excise the tumour viz. the
contralateral nostril, the ipsilateral nostril, the canine fossa
and a trans-oral port. Themain advantage of these techniques
is that large tumours can be excised endoscopically without
damaging the pyriform aperture and the anterior facial
skeleton as is done in the Modified Endoscopic Denker’s or
Midfacial Degloving approaches.
The lecture includes discussion on advantages, disadvantages
and limitations of these two approaches. A long term follows
up of up to 4 years of these patients is also presented.
Speaker Biography
Renuka Bradoo is Professor &Head of Department of Otorhinolaryngology
at LTM Medical College and General Hospital, Mumbai, India. She is an
internationally acknowledged expert in the field of endoscopic sinus and
skull base surgery with her special interest and focus of research being
Angiofibroma. She was first surgeon in India and amongst the first in the
world to undertake endoscopic excision of angiofibroma. She has over 70
national and international publications to her credit. Her published work
on ‘Transcutaneous Orbital Endoscopy’ for lesions lateral to the optic
nerve is amongst the first few such reports in world literature. She is the
author of ‘Anatomical Principles of Endoscopic Sinus Surgery – A Step by
Step Approach’. She has conducted an annual course in Endoscopic Sinus
Surgery at her institution for the last 14 years during which she has trained
over 1100 ENT surgeons from India and abroad.
e:
Renuka Bradoo
LTMMedical College and General Hospital, India
Newer approaches to endoscopic excision of angiofibroma- The
push-pull and the four-port approach
Renuka Bradoo , Otolaryngology online, Volume 9
ISSN: 2250-0359