Throughout 1988-1993 ENT surgeons from the Central Pediatric clinic operated on 35 children aged 3-14 years for angiofibroma of the base of the skull. The majority of the cases were advanced with involvement of all the paranasal sinuses. The tumor has invaded the orbit, pterygopalatine, infratemporal, middle cranial fossa, cavernous sinus and internal carotid artery in 5, 7, 3, 5 and 1 children, respectively. The removal of the tumor was carried out through nasal-maxillary approach without carotid artery ligation. A cosmetic suture was placed subsequently. Anesthetic management has been elaborated. 3 children responded well to radiotherapy. Angiofibroma recurrence occurred in 5 children, in 3 of them after endonasal removal.
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