Korean J Otolaryngol-Head Neck Surg.  1999 Jan;42(1):114-117.

A Case of Juvenile Nasopharyngeal Angiofibroma-Transnasal Endoscopic Surgery-

Affiliations
  • 1Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Chonbuk National University, Chonju, Korea. Shkwon@chonbuk.moak.ac.kr

Abstract

Juvenile nasopharyngeal angiofibroma (JNA) is a highly vascular and locally invasive tumor that occurs almost exclusively in adolescent boys. JNA accounts for 0.05-0.5% of all head and neck tumors. Pre-operative embolization is useful for reducing intraoperative blood loss and the risk of incomplete excision of the tumor. A case of angiofibroma limited to the left posterior and superior nasal cavity and nasopharynx was excised transnasally under endoscopic control after pre-operative embolization with Gelfoam(r). The tumor was completely removed without complications, and there was no evidence of any residual tumor or recurrence observed during one year of endoscopic follow-up. It can be suggested that for the limited lesions of angiofibroma, the option of a transnasal endoscopic approach could be cautiously applied by experienced surgeons.

Keyword

Nasopharyngeal neoplasms; Angiofibroma; Embolization
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