Rzayev R.M. Juvenile Nasopharyngeal Angiofibroma (III category).

The author offers own tactics of surgical treatment of patients with presence of the basicranialy-extending of JNA that according to the unified classification is subdivided into tumors I, II and III categories. Under supervision there were 40 patients with JNA, from which at 28 (70 %) patients there was a basicranialy extending form of a tumor [at 12 (30 %) patients there was intracranialy-extending form]. At 4 patients was available I (the tumor occupied a nasopharynx, nasal cavity and sphenoid sinus), at 9 - II (the form of growth of a tumor corresponded I to a category a tumor it was involving in sphenopalatinal fossa and sinuses of a ethmoidal bone) and at 15 - III (the form of growth of a tumor corresponded to II category a tumor was involving in infratemporal fossa, orbit, maxillary sinus and parapharyngeal space) a category of a tumor. The differentiated application of such modified operations as operation on Owens (at removal of tumors I of a category), Denker (at removal of tumors of II category) and to Moure (at removal of tumors of III category) has allowed to provides radical removal of a tumor at the overwhelming majority sick (87,7 %), that, in opinion of the author, specifies high efficiency of tactics of surgical treatment of patients.