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Juvenile nasopharyngeal angiofibroma
M K Malik1, A Kumar, B P Bhatia
1Department of ENT, Medical College, Meerut, India.
Indian Journal of Medical Sciences
|December 1, 1991
Summary
This study on nasopharyngeal angiofibroma treated 27 male patients, primarily using transpalatal excision. Surgical outcomes showed a high cure rate, but recurrence necessitates further management.
Area of Science:
- Otolaryngology
- Surgical Oncology
Background:
- Nasopharyngeal angiofibroma is a rare, benign tumor affecting adolescent males.
- Epistaxis and nasal obstruction are common presenting symptoms.
Purpose of the Study:
- To evaluate the surgical outcomes and recurrence rates of nasopharyngeal angiofibroma.
- To assess the efficacy of transpalatal excision in treating this condition.
Main Methods:
- Retrospective analysis of 27 male patients diagnosed with nasopharyngeal angiofibroma.
- Surgical treatment primarily involved transpalatal excision, with additional procedures for extensive tumors.
- Follow-up assessments were conducted for recurrence over 2-5 years.
Main Results:
- 25 patients underwent surgery, with 16 achieving complete cure.
- Five cases experienced recurrence after initial surgery, with two showing a second recurrence.
- One intraoperative fatality occurred due to hemorrhage.
Conclusions:
- Transpalatal excision is an effective primary treatment for nasopharyngeal angiofibroma.
- Recurrence is a significant concern, requiring vigilant follow-up and potential re-operation.
- Multidisciplinary management is crucial for optimizing patient outcomes.