欲完全切除巨大青年性鼻咽纤维瘤,可采用经腭与经上颌骨的联合径路,这种径路不但可以切除鼻咽部肿瘤,同时还可切除其颅内等处的扩展部分。术前应矫正贫血及配血,并照鼻窦、鼻咽部及颅底X线象以确定肿瘤扩展范围,作颈动脉造影以了解肿瘤血管分布情况。 In order to completely remove the giant nasopharyngeal fibroids, a combination of transorbital and maxillary bone can be used. This pathway can not only remove the nasopharyngeal tumor, but also remove the intracranial and other extensions. Before surgery, anemia and blood matching should be corrected, and the sinuses, nasopharyngeal and skull base X-ray images should be taken to determine the extent of tumor expansion. Carotid artery angiography should be performed to understand the distribution of tumor blood vessels.