Maxillary removal and reinsertion in pediatric patients.

摘要: Objective To examine outcomes after the maxillary removal and reinsertion (MRR) approach for treatment of anterior cranial base tumors in pediatric patients. Design Eligible patients were identified by medical record review. Consenting studied via rhinoscopy, fiberoptic endoscopy, standard facial photographs, cephalometric radiographs. Setting A tertiary care otolaryngology clinic. Patients Inclusion criteria age younger than 16 years at time initial procedure a follow-up period least 6 months. Nine eligible, 5 enrolled. All male (mean age, 13.8 years; range, 11-15 years) treated juvenile nasopharyngeal angiofibroma. Main Outcome Measures History examination performed to evaluate occlusion, vision, growth, tumor status. Cephalograms used calculate 3 measurements: sella point, basion condylion point. examined plate migration bony resorption. Results Conclusions No major long-term complications MRR. Cephalometric analysis revealed minor abnormalities 2 children, but no or resorption was removed reinserted maxillae. abnormal development patterns detected on physical when measurements compared with age- race-matched normative data. Although further study is warranted, MRR seems safe effective tumors.