OBJECTIVE: To study various surgical approaches and the outcome of surgery in juvenile nasopharyngeal
angiofibromas (JNA).
DESIGN: A descriptive study
SETTING: Department of Otorhinolaryngology - Head and Neck Surgery, Civil Hospital Karachi.
METHOD: This study included 40 consecutive cases of nasopharyngeal angiofibroma over a
period of 4 years. Patients were regularly followed up for any recurrence up to 3 years.
RESULTS: Majority of our patients had stage III (72.5%) disease (Chandlers staging) i.e. extension
in pterygopalatine fossa, maxillary antrum, nose and sphenoid sinuses; and infratemporal
fossa in 72.5% patients, tumor was removed through lateral rhinotomy approach while Weber
Fergusson in 17.5%, mid facial degloving in 7.5% and only in 2.5% patient transpalatal approach
was used. Tumour recurrence were seen only in 5% of cases.
CONCLUSIONS: Angiofibromas usually present at the late stage. Surgery is the treatment of
choice. Most of the tumours are excisable by a lateral rhinotomy approach, with minimal chance
of recurrence.
Key words: Angiofibroma, Nasal tumors, surgical approach.
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