Endoscopic excision of juvenile nasopharyngeal angiofibroma: A case series

Publication date: Available online 24 December 2016
Source:Egyptian Journal of Ear, Nose, Throat and Allied Sciences
Author(s): L.Y. Lim, Irfan Mohamad, I.P. Tang
ObjectivesTo present the outcome of excision of juvenile nasopharyngeal angiofibroma (JNA)-through endoscopic approach.MethodRetrospective case series review of six cases of JNA patients, encountered between 2013 and 2015. All patients underwent endoscopic excision, preceded by embolisation.ResultsAll patients were male, comprised of Chinese, Malay and Bidayuh ethnics, presenting with typical complaints of progressive unilateral nasal blockage, spontaneous painless epistaxis hyposmia and sleep disturbance. The patients' presentation comprised of all four stages based on Fisch classification, with one recurrence case. Maxillary artery was the main blood supply to the lesion. Surgical approach applied was endoscopic four-handed technique of excision. All patients were discharged well with no major complications, nor cases of recurrence.ConclusionEndoscopic approach is possible for varies stages of JNA. Preoperative angiographic embolisation has minimised the blood loss intraoperatively. The endoscopic method has reduced the post-operative morbidity.



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