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Otolaryngology: Cervical neurinoma — Surgical resection. Treatment abroad

Juvenile nasopharyngeal angiofibroma (JNA) is a benign tumor of the nasopharynx, which is characteristic mainly for boys and young men. Structurally, it is composed of the fibrous tissue and thin-walled vessels, which are bleeding from time to time. The tumor is characterized by an aggressive course. Depending on the growth direction, over time it grows into the nasal cavity, paranasal sinuses and skull base, creating a threat to the patient’s life. The major treatment option is surgery. In some cases, the radiation techniques may be used.
Surgery

The choice of the surgical technique depends on the formation size:

  1. For small tumors, surgery can be performed endoscopically through the natural orifices (mouth or nose). Such an intervention can minimize the tissue trauma.
  2. Another option of removing small JNA is through the palate. The surgeon makes a horseshoe-shaped incision on the upper edge of the gums, excises a portion of the palate on the affected side, and then resects the tumor. Such an access provides a broad overview of the nasopharynx.
  3. Medial tumors, which invaded the nasal cavity or orbit, are removed through the maxillary sinus. The incision in this case is made under the upper lip.
  4. Large JNA, invading the base of the skull, are dissected through the infratemporal fossa.

The day before surgery, the angiography is performed, which allows the embolization (occlusion) of blood vessels feeding the tumor and reduces the risk of bleeding.

JNA is removed to the fullest extent possible. If the total resection is not possible, the formation is excised partially, and the patient is prescribed radiation therapy after surgery. The following techniques are well-proven for angiofibromas:

  1. Stereotactic surgery (Gamma Knife). The tumor residue is affected by a high dose of radiation, which leads to the tumor cell death. The flows of radiation particles are formed so that most of the energy was targeted at the pathological focus. Thus, the healthy tissue is almost not subjected to irradiation. The procedure is performed only once. The effect is manifested over the next 6 to 24 months.
  2. Conformal radiotherapy. The tumor is irradiated precisely from different angles. Consequently, the major impact is targeted exactly at the pathological focus. The surrounding tissues are damaged to a lesser extent than upon conventional irradiation techniques. The sessions are repeated daily for several weeks.

For inoperable JNA, the radiation techniques may be indicated as the main treatment option.

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Martha-Maria Hospital in Munich

8.9/10 from 23 Votes

Department of General, Abdominal and Thoracic Surgery

Surgical treatment of cervical neurinoma #286906

The Department of General, Abdominal and Thoracic Surgery at the Martha-Maria Hospital in Munich specializes in endocrine surgery, minimally invasive surgery, gastrointestinal surgery (all diseases of the gastrointestinal tract requiring surgical treatment), lung and vascular surgery as well as emergency surgery.


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich

Price 6111.00

District Hospital St. Elisabeth Grevenbroich

10/10 from 23 Votes

Department of General, Visceral, Vascular Surgery and Traumatology

Surgical treatment of cervical neurinoma #300637

The Department of General, Visceral, Vascular Surgery and Traumatology at the District Hospital St. Elisabeth Grevenbroich specializes in abdominal and vascular surgery, as well as in the treatment of accident victims.


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Grevenbroich

Price 6615.00

University Hospital rechts der Isar der TU München

8.3/10 from 70 Votes

Department of Surgery

Surgical treatment of cervical neurinoma #278626

The Department of Surgery at the university hospital Klinikum rechts der Isar provides a wide range of treatment of diseases requiring surgical intervention.


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich
certificate

Price 6586.00

RWTH University Hospital Aachen

9.2/10 from 41 Votes

Department of General, Abdominal and Transplant Surgery

Surgical treatment of cervical neurinoma #278659

The Department of General, Visceral and Transplant Surgery at the University Hospital Aachen is one of the biggest visceral surgery centers in North Rhine-Westphalia. The priority area is oncologic visceral surgery with a special competence in the field of liver and pancreas.


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Aachen
certificatecertificate

Price 6595.00

University Hospital Halle (Saale)

9.6/10 from 78 Votes

Department of General, Visceral, Vascular and Endocrine Surgery

Surgical treatment of cervical neurinoma #274821

The Department of General, Visceral and Vascular Surgery focuses on surgery and research in the field of endocrinology, colon cancer and vascular medicine. Modern and interdisciplinary treatment technology, such as "keyhole surgery" and interventional surgery, are an integral part of the work.


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Halle
certificate

Price 6871.00

University Hospital Heidelberg

9/10 from 57 Votes

Department of General, Visceral and Transplant Surgery

Surgical treatment of cervical neurinoma #275375

The Department of General, Visceral and Transplant Surgery at the Heidelberg University Hospital is world famous for its first-class medical care of the university level.


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Heidelberg
certificate

University Hospital Frankfurt

9.5/10 from 97 Votes

Department of General and Abdominal Surgery

Surgical treatment of cervical neurinoma #278050

The Department of General and Visceral Surgery at the University Hospital Frankfurt deals with the treatment of all general and visceral surgical diseases and performs surgery to transplant liver, kidney and pancreas.


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Frankfurt am Main

Price 7809.00

University Hospital Cologne

9.8/10 from 82 Votes

Department of General, Visceral and Tumor Surgery

Surgical treatment of cervical neurinoma #278343

The Department of General, Visceral and Tumor Surgery deals with the surgical treatment of benign and malignant diseases. The focus is on surgery for cancers of esophagus, stomach, small and large intestine, liver, gall bladder, pancreas and thyroid.


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Cologne
certificate

Price 6746.00

Charite University Hospital Berlin

9/10 from 95 Votes

Department of General, Abdominal and Vascular Surgery

Surgical treatment of cervical neurinoma #275504

Department for General, Abdominal and Vascular Surgery at the University Hospital Charite Berlin treats sicknesses in general, visceral surgery and other surgical areas.


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Berlin

Price 9465.00

Academic Hospital Cologne-Holweide

8.9/10 from 32 Votes

Department of General, Abdominal and Trauma Surgery

Surgical treatment of cervical neurinoma #278844

With a team of 15 physicians having different surgical specialties, the Department of General, Abdominal and Trauma Surgery at the Academic Hospital Cologne-Holweide covers the entire spectrum of general and visceral surgery (abdominal surgery). The Department has four sections with 120 beds.


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Cologne

Price 6579.00

Alfried Krupp Hospital in Essen-Ruettenscheid

7.4/10 from 42 Votes

Department of General and Abdominal Surgery

Surgical treatment of cervical neurinoma #275401

The team of experienced general and visceral surgeons covers the entire range of diagnosis and first-rate modern general and visceral surgery for diseases of the abdominal cavity (the entire gastrointestinal tract, liver, the gall bladder, pancreas gland, spleen, peritoneum), endocrine organs (thyro...


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Essen

Price 5502.00

Alfried Krupp Hospital in Essen-Steele

7.3/10 from 40 Votes

Department of General and Abdominal Surgery

Surgical treatment of cervical neurinoma #275692

A team of experienced specialists in the field of general and visceral surgery provides the full range of services in diagnosis and treatment of all the surgical diseases of the abdominal cavity (the whole gastrointestinal tract, liver, gall bladder, pancreas, spleen, peritoneum), endocrine organs (...


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Essen

Price 5535.00

University Hospital of Würzburg

9.2/10 from 38 Votes

Department of General, Abdominal, Vascular and Pediatric Surgery

Surgical treatment of cervical neurinoma #274939

The Department of General, Abdominal, Vascular and Pediatric Surgery (Department of Surgery I) covers the entire spectrum of general and abdominal surgery. There are two specialized Sections of Vascular and Pediatric Surgery. The Department offers the whole range of top-class surgical services.


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Würzburg
certificate

Price 6920.00

Hannover Medical School, MHH

9.8/10 from 43 Votes

Department of General, Abdominal and Transplant Surgery

Surgical treatment of cervical neurinoma #274698

Clinic for general, abdominal and transplant surgery at the Medical University of Hanover offers comprehensive care for surgical treatment of benign and malignant diseases of the entire abdominal cavity.


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Hannover
certificate

Price 6737.00

Städtisches Klinikum Neuperlach

9.8/10 from 11 Votes

Department of General and Abdominal Surgery, Endocrine Surgery and Coloproctology

Surgical treatment of cervical neurinoma #275680

The department of general and abdominal surgery, endocrine surgery and coloprotology treats patients with surgical diseases of the organs of the abdominal cavity, the abdominal wall, and treated the anal region and endocrine organs (thyroid, parathyroid and adrenal glands).


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Munich
certificate

Price 7988.00

Marienhaus Klinikum St. Elisabeth Neuwied

9.8/10 from 23 Votes

Department of General, Visceral and Vascular Surgery

Surgical treatment of cervical neurinoma #292225

The Department of General, Visceral and Vascular Surgery at the Marienhaus Klinikum St. Elisabeth Neuwied provides the range of services, starting from the treatment of inguinal hernia up to a comprehensive tumor surgery. The Department maintains cooperation with other disciplines in all fields of its activity.


Duration 5 days
Type of Treatment: Inpatient
location_onCountry: Germany
location_searchingCity: Neuwied

Price 6409.00

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