PDF(Pubmed)
Abstract：
Angiofibroma is a non-encapsulated, highly vascular tumor that usually originates in the nasopharynx. Laryngeal cases of extranasopharyngeal angiofibroma (ENA) are a very rare pathology, especially in children. Only eight ENA laryngeal cases have been described in the literature, and only one of them is a pediatric case. In this report we present an 11-year-old child with epiglottic ENA resected with transoral endoscopic ultrasonic surgery (TOUSS) with review of the literature. Because of reccurrence after five months he underwent re-excision with CO2 laser. Recurrences in ENA are infrequent, but as demonstrated in our case, close endoscopic follow-up is mandatory in this location. Endoscopic hemostatic procedures like TOUSS and CO2 laser ensure bloodless surgery for the management of this type of vascular laryngeal tumors.
摘要：
血管纤维瘤是一种非包膜，通常起源于鼻咽部的高度血管性肿瘤。鼻咽外血管纤维瘤（ENA）的喉部病例是一种非常罕见的病理，尤其是儿童。文献中只描述了8例ENA喉部病例，其中只有一个是儿科病例。在本报告中，我们介绍了一名11岁的会厌ENA患儿，经口内窥镜超声手术（TOUSS）切除，并回顾了文献。由于五个月后复发，他接受了CO2激光的重新切除。ENA的复发很少，但是正如我们的案例所证明的，在该位置必须进行密切的内镜随访.内窥镜止血程序，如TOUSS和CO2激光确保无血手术治疗这种类型的血管喉肿瘤。
