{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,7]],"date-time":"2023-10-07T18:40:12Z","timestamp":1696704012069},"reference-count":23,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2015,3,16]],"date-time":"2015-03-16T00:00:00Z","timestamp":1426464000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int Forum Allergy Rhinol"],"published-print":{"date-parts":[[2015,7]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Although intracranial extension of juvenile nasopharyngeal angiofibroma (JNA) occurs commonly, intradural penetration is extremely rare. Management of such tumors is a challenging issue in skull\u2010base surgery, necessitating their removal via combined approaches. In this work, we share our experience in management of extensive intradural JNA.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In a university hospital\u2013based setting of 2 tertiary care academic centers, retrospective chart of 6 male patients (5 between 15 and 19 years old) was reviewed. Patients presented chiefly with nasal obstruction, epistaxis, and proptosis. One of them was an aggressive recurrent tumor in a 32\u2010year\u2010old patient. All cases underwent combined transnasal, transmaxillary, and craniotomy approaches assisted by the use of image\u2010guided endoscopic surgery, with craniotomy preceding the rhinosurgical approach in 3 cases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Adding a transcranial approach to the transnasal and transmaxillary endoscopic approaches provided 2\u2010sided exposure and appreciated access to the huge intradural JNAs. One postoperative cerebrospinal fluid leak and 1 postoperative recurrence at the site of infratemporal fossa were treated successfully. Otherwise, the course was uneventful in the remaining cases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Management of intracranial intradural JNA requires a multidisciplinary approach of combined open and endoscopic\u2010assisted rhinosurgery and neurosurgery, because of greater risk for complications during the dissection. Carotid rupture and brain damage remain 2 catastrophic complications that should always be kept in mind. A combined rhinosurgical and neurosurgical approach also has the advantage of very modest cosmetic complications.<\/jats:p><\/jats:sec>","DOI":"10.1002\/alr.21507","type":"journal-article","created":{"date-parts":[[2015,3,17]],"date-time":"2015-03-17T00:57:46Z","timestamp":1426553866000},"page":"650-658","source":"Crossref","is-referenced-by-count":3,"title":["Management of advanced intracranial intradural juvenile nasopharyngeal angiofibroma: combined single\u2010stage rhinosurgical and neurosurgical approach"],"prefix":"10.1002","volume":"5","author":[{"given":"Mohsen","family":"Naraghi","sequence":"first","affiliation":[{"name":"Department of Otorhinolaryngology\u2013Head and Neck Surgery, Tehran University of Medical Sciences  Tehran Iran"},{"name":"Otolaryngology Research Center, Tehran University of Medical Sciences  Tehran Iran"},{"name":"Rhinology Research Society  Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hooshang","family":"Saberi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Tehran University of Medical Sciences  Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atefeh Sadat","family":"Mirmohseni","sequence":"additional","affiliation":[{"name":"Otolaryngology Research Center, Tehran University of Medical Sciences  Tehran Iran"},{"name":"Rhinology Research Society  Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad Sadegh","family":"Nikdad","sequence":"additional","affiliation":[{"name":"Otolaryngology Research Center, Tehran University of Medical Sciences  Tehran Iran"},{"name":"Rhinology Research Society  Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohsen","family":"Afarideh","sequence":"additional","affiliation":[{"name":"Otolaryngology Research Center, Tehran University of Medical Sciences  Tehran Iran"},{"name":"Rhinology Research Society  Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,3,16]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599813516605"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2008.01.011"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23843"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/lary.23760"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940411301202"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198904000-00013"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100145505"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0196-0709(02)32402-5"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000226005.43817.a2"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.moo.0000188859.91607.65"},{"key":"e_1_2_7_12_1","first-page":"400","article-title":"Intracranial juvenile angiofibroma with dural and cavernous sinus invasion","volume":"61","author":"Butugan O","year":"1995","journal-title":"Rev Bras Otorrinolaringol"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/00016480600818138"},{"key":"e_1_2_7_14_1","first-page":"235","article-title":"Juvenile nasopharyngeal angiofibroma: the routes of invasion","volume":"41","author":"Sennes LU","year":"2003","journal-title":"Rhinology"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-5998(00)70256-7"},{"key":"e_1_2_7_16_1","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1097\/MAO.0000000000000498","article-title":"The combined subtemporal\u2010transfacial approach for the resection of juvenile nasopharyngeal angiofibromas with intracranial extension","volume":"36","author":"Kumar AR","year":"2015","journal-title":"Otol Neurotol."},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/hed.2890020207"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2008-1057116"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1590\/S1808-86942011000500025"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198412000-00014"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1309\/W5CM3A3NH7P4F5P2"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otc.2011.06.003"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-200109000-00003"},{"key":"e_1_2_7_24_1","first-page":"179","article-title":"Juvenile angiofibroma\u2014imaging techniques in diagnosis","volume":"27","author":"Lund V","year":"1989","journal-title":"Rhinology"}],"container-title":["International Forum of Allergy &amp; 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