A Case of Juvenile Nasopharyngeal Angiofibroma-Transnasal Endoscopic Surgery-.
- Author:
Sam Hyun KWON
1
;
Kyoung Soo CHEONG
Author Information
1. Department of Otorhinolaryngology-Head and Neck Surgery, College of Medicine, Chonbuk National University, Chonju, Korea. Shkwon@chonbuk.moak.ac.kr
- Publication Type:Case Report
- Keywords:
Nasopharyngeal neoplasms;
Angiofibroma;
Embolization
- MeSH:
Adolescent;
Angiofibroma;
Follow-Up Studies;
Head;
Humans;
Nasal Cavity;
Nasopharyngeal Neoplasms;
Nasopharynx;
Neck;
Neoplasm, Residual;
Recurrence
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
1999;42(1):114-117
- CountryRepublic of Korea
- Language:Korean
-
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.
