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The Four-Port Bradoo Technique: An Alternative to the Modified Endoscopic Denker’s Approach for Giant JNA

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

The aim of this study is to emphasise the importance of preserving the anterior facial skeleton in angiofibroma surgery and to introduce a new approach by which tumors with far lateral extensions can be operated upon successfully without disruption of the anterior facial skeleton. This is a prospective study conducted at a tertiary referral academic centre. Two patients with extensive juvenile nasopharyngeal angiofibroma with far lateral extensions were recruited and they underwent surgery between July and August 2016. Both patients were not embolised prior to surgery. Complete tumor removal was achieved in both cases without any evidence of recurrence of disease. The facial contour was well maintained. They are under regular follow-up at our centre, having completed their third 3 monthly follow-up. The main outcome measures are preservation of the anterior facial skeleton and complete tumor removal. The Four-Port Bradoo Technique allows for maximum access to the angiofibroma whilst maintaining the anterior facial skeleton, thus ensuring complete removal with minimal morbidity to the patient.

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Authors and Affiliations

  1. Department of ENT and Head-Neck Surgery, Lokmanya Tilak Municipal Medical College and General Hospital (Sion Hospital), Room No 441, 4th Floor, College Building, Sion, Mumbai, 400022, India

    Renuka Bradoo, Anagha Joshi, Kshtij Shah, Tejal Patel & Tanvi Lohiya

Authors
  1. Renuka Bradoo
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  2. Anagha Joshi
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  3. Kshtij Shah
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  4. Tejal Patel
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  5. Tanvi Lohiya
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Correspondence to Renuka Bradoo.

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Bradoo, R., Joshi, A., Shah, K. et al. The Four-Port Bradoo Technique: An Alternative to the Modified Endoscopic Denker’s Approach for Giant JNA. Indian J Otolaryngol Head Neck Surg 69, 277–281 (2017). https://doi.org/10.1007/s12070-017-1150-1

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  • DOI: https://doi.org/10.1007/s12070-017-1150-1

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