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Juvenile Nasopharyngeal Angiofibroma
Satvinder S Bakshi1, Sumita Bhattacharjee
1*Department of ENT and Head & Neck Surgery, Mahatma Gandhi Medical College and Research Institute, Pillaiyarkuppam †Dr Smilez Dental Clinic, Pondicherry, India.
Journal of Pediatric Hematology/Oncology
|May 11, 2016
Summary
A juvenile nasopharyngeal angiofibroma, a rare benign tumor, caused nasal obstruction and epistaxis in a young male. Surgical removal, preceded by embolization, successfully treated the locally invasive mass.
Area of Science:
- Otolaryngology
- Head and Neck Surgery
- Vascular Oncology
Background:
- Juvenile nasopharyngeal angiofibroma (JNA) is a rare, benign tumor originating in the nasopharynx.
- JNAs account for approximately 0.05% of all head and neck tumors.
- These tumors are characterized by local invasiveness and a propensity for significant vascularity.
Observation:
- A 9-year-old male presented with acute onset nasal obstruction and recurrent epistaxis.
- Nasopharyngeal imaging identified a highly vascular mass.
- The mass exhibited significant vascularity, necessitating embolization of feeding vessels prior to surgical excision.
Findings:
- Complete surgical removal of the juvenile nasopharyngeal angiofibroma was achieved.
- The treatment strategy involved embolization of feeding arteries followed by mass excision.
- The patient's presenting symptoms of nasal obstruction and epistaxis were resolved post-operatively.
Implications:
- Early diagnosis and intervention are crucial for managing JNA.
- Embolization can be an effective adjunct to surgical resection for highly vascular JNA.
- Understanding the potential for extensive growth (orbital, intracranial) guides surgical approach selection (endoscopic vs. open).
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