Abstract
Several surgical techniques such as transmaxillary, transpalatal as well as a combination of both approaches have been used for the treatment of epipharyngeal angiofibroma. However, major complications such as palatal fistula and/or an insufficient epipharyngeal closure after surgery when using the transpalatal approach have been frequently reported. We therefore designed a modified approach for the transpalatal technique. The aim of this technique is to prevent the occurrence of complications by means of a palatal bone reconstruction during surgery. A representative case is herein presented. A 15- year-old boy was diagnosed to have angiofibroma of the epipharynx. The tumor was completely removed using this technique. He has been doing well without any complications after surgery. We therefore recommend a modified transpalatal technique for the treatment of epipharyngeal masses.
