gms | German Medical Science

GMS Current Posters in Otorhinolaryngology - Head and Neck Surgery

Deutsche Gesellschaft für Hals-, Nasen-, Ohrenheilkunde, Kopf- und Halschirurgie e.V. (DGHNOKHC)

ISSN 1865-1038

Juvenile Nasopharyngeal Angiofibroma

Poster

  • Stelian Lupescu - ENT Department Timisoara, Timisoara, Romania
  • Gheorghe Iovanescu - ENT Department Timisoara, Timisoara, Romania
  • Caius Doros - ENT Department Timisoara, Timisoara, Romania
  • Florin Trales - ENT Department Timisoara, Timisoara, Romania
  • corresponding author Stan Cotulbea - ENT Department Timisoara, Timisoara, Romania

GMS Curr Posters Otorhinolaryngol Head Neck Surg 2011;7:Doc38

DOI: 10.3205/cpo000627, URN: urn:nbn:de:0183-cpo0006276

Published: April 14, 2011

© 2011 Lupescu 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

Abstract

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. 37 patients with diagnosis of NAF from 1984–2009 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 4 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 12 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.