! ORL via Alexandros G.Sfakianakis on Inoreader: Bilateral, independent juvenile nasopharyngeal angiofibroma: case report.

! ORL via Alexandros G.Sfakianakis on Inoreader

Bilateral, independent juvenile nasopharyngeal angiofibroma: case report. Sep 1st 2015, 11:06, by Mørkenborg ML, Frendø M, Stavngaard T, Von Buchwald C Related Articles Bilateral, independent juvenile nasopharyngeal angiofibroma: case report. J Laryngol Otol. 2015 Aug 28;:1-4 Authors: Mørkenborg ML, Frendø M, Stavngaard T, Von Buchwald C Abstract BACKGROUND: Juvenile nasopharyngeal angiofibroma is a benign, vascular tumour that primarily occurs in adolescent males. Despite its benign nature, aggressive growth patterns can cause potential life-threatening complications. Juvenile nasopharyngeal angiofibroma is normally unilateral, originating from the sphenopalatine artery, but bilateral symptoms can occur if a large tumour extends to the contralateral side of the nasopharynx. This paper presents the first reported case of true bilateral extensive juvenile nasopharyngeal angiofibroma involving clinically challenging pre-surgical planning and surgical strategy. CASE REPORT: A 21-year-old male presented with increasing bilateral nasal obstruction and discharge. Examination revealed tumours bilaterally and imaging demonstrated non-contiguous tumours. Pre-operative angiography showed strictly ipsilateral vascular supplies requiring bilateral embolisation. Radical removal performed as one-step, computer-assisted functional endoscopic sinus surgery was performed. The follow-up period was uncomplicated. CONCLUSION: This case illustrates the importance of suspecting bilateral juvenile nasopharyngeal angiofibroma in patients presenting with bilateral symptoms. Our management, including successful pre-operative planning, enabled one-step total removal of both tumours and rapid patient recovery. PMID: 26314415 [PubMed - as supplied by publisher]

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