[Value of the transpalatine approach for surgical access to nasopharyngeal fibromas (author's transl)]. / Intérêt de la voie transpalatine pour l'abord chirugical des fibromes naso-pharyngiens.

Present special investigations offer the possibility of very good assessment of the extension and vascularisation of nasopharyngeal fibromas. It is no longer logical to seek to treat all tumours via wide surgical approaches since tumour size and spread vary from one case to another. Amongst the various surgical approaches available, the transpalatine technique is extremely valuable in the excision of small limited tumours limited to the cavum or to remove the sphenoidal prolongation of a large tumour. In such a case, a combined transpalatine and transantral approach facilitates the operation and ensures perfect control of the whole excision process, which considerably reduces the risk of recurrence.