Determination of the criteria for the volume of surgical interventions in juvenile angiofibroma of the skull base, depending on the results of computed and magnetic resonance tomography

Abstract

Aim. To explore the potential of computed and magnetic resonance tomography in determining the extent of surgical intervention in juvenile angiofibroma of the skull base.Material and Methods. The study is based on an analysis of patients diagnosed with juvenile angiofibroma of the skull base, who were hospitalized in the 1-ENT department of the State Institution NMC RT “Shifobakhsh” from 2015 to 2022. Over this period, 68 male patients were under our supervision.Results. Data analysis from computed and magnetic resonance imaging revealed a sphenoethmoid form of tumor growth in 51.5% of patients. The basilar form was less common (25%), and the pterygomaxillary form of tumor growth occurred in 22% of cases. The tubar form of tumor growth was detected in one case. A significant proportion of patients (61.8%) had angiofibroma stage II, 10.3% had stage I, 19.1% had stage IIIA, and 4.4% of patients had stages IIIB and IV, respectively.Conclusions. Computed and magnetic resonance imaging can be considered the gold standard in the study of patients with suspected juvenile angiofibroma of the skull base. These methods allow clinicians to determine the form of the tumor process depending on the initial site and the disease stage, which are critical criteria for selecting the extent of surgical intervention.