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79th Annual Meeting of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

German Society of Oto-Rhino-Laryngology, Head and Neck Surgery

30.04. - 04.05.2008, Bonn

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Juvenile Nasopharyngeal Angiofibroma

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  • corresponding author Nicolae Balica - "Victor Babes" University of Medicine and Pharmacy Timisoara, Timisoara, Rumänien
  • Marioara Poenaru - "Victor Babes" University of Medicine and Pharmacy Timisoara, Timisoara, Rumänien
  • Stelian Lupescu - "Victor Babes" University of Medicine and Pharmacy Timisoara, Timisoara, Rumänien
  • Alin Horia Marin - "Victor Babes" University of Medicine and Pharmacy Timisoara, Timisoara, Rumänien
  • Stan Cotulbea - "Victor Babes" University of Medicine and Pharmacy Timisoara, Timisoara, Rumänien

Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. 79. Jahresversammlung der Deutschen Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie. Bonn, 30.04.-04.05.2008. Düsseldorf: German Medical Science GMS Publishing House; 2008. Doc08hnod416

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/hnod2008/08hnod416.shtml

Published: April 22, 2008

© 2008 Balica et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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Introduction: Nasopharyngeal Angiofibroma (NAF), occurring mostly in young men, is histological a benign tumor with aggressive clinical behavior that includes repeated epistaxis and intractable nasal obstruction.

Methods: This paper reviews our experience regarding clinical features and the treatment of NAF in E.N.T. Department-Timisoara. Nineteen patients with diagnosis of NAF from 1984–2006 were included, and their clinical presentations, imaging studies (C.T. and M.R.I.), treatments and outcomes were retrospectively analyzed. The duration of symptoms in the current study was 8–9 months. The current treatment modality was in all cases surgery. The patients underwent combined transpalatal or retropalatal and lateral rhinotomy approach.

Results: In present series there were 3 recurrences due to failure in complete removing of the tumor. They were all reoperated by lateral rhinotomy approach and they are now free of disease. The follow up period was at least 18 month for all patients, even in cases of recurrences.

Conclusions: Contemporary radiographic methods (C.T., M.R.I.) improve the evaluation of the patients, and provide essential information for the surgeon regarding the approach to use. Complete surgical excision may be impossible and may carry significant morbidity and potential mortality.