Complex Single-Stage Juvenile Nasopharyngeal Angiofibroma Resection: A Hybrid Pediatric Endoscopic Endonasal and Transmaxillary Approach
This study demonstrates the technical feasibility of a combined endoscopic endonasal and transmaxillary approach for single-stage JNA resection with intracranial extension in pediatric patients. Key principles include tumor embolization, dynamic endoscopic visualization, avoidance of brain retraction, direct access to critical neurovascular structures, and minimizing craniofacial morbidity.
Authors
- Vijay A. Patel (ORCID: https://orcid.org/0000-0002-8145-1721)
- Michael G. Brandel (ORCID: https://orcid.org/0000-0001-7422-390X)
- Danielle Levy
- Javan Nation (ORCID: https://orcid.org/0000-0001-6023-5707)
- Michaël Lévy (ORCID: https://orcid.org/0000-0003-2463-684X)
- Jeeho D. Kim (ORCID: https://orcid.org/0000-0002-6691-3174)
- J. Scott Pannell
- Hector Fuentes Plata
Institutions
- Naval Medical Center San Diego (US)
- St. George's University (GD)
- Baylor College of Medicine (US)
- Jacksonville College (US)
- University of California San Diego (US)
- Rady Children's Hospital-San Diego (US)
- Mayo Clinic in Florida (US)
Publication Details
- Journal
- Operative Neurosurgery
- Published
- 2025-06-16
- DOI
- https://doi.org/10.1227/ons.0000000000001662
- Primary Topic
- Head and Neck Surgical Oncology
- Type
- article
- Field-Weighted Citation Impact
- 0.00