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Juvenile nasopharyngeal angiofibromas (JNA) are a rare benign but locally aggressive vascular tumor. Epidemiology Juvenile nasopharyngeal angiofibromas. Juvenile angiofibroma (JNA) is a benign tumor that tends to bleed and occurs in the nasopharynx of prepubertal and adolescent males. Home» Acta Otorrinolaringológica Española» Comprar Tratamiento quirúrgico del angiofibroma nasofaríngeo juvenil en pacientes pediátricos.

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Some surgeons, however, do not routinely perform embolization preoperatively, finding that embolization is justified only in larger tumors Of the 20 patients, 3 had surgery by combined approaches conventional and endoscopicincluding 1 patient with a Fisch IIIA tumor who was treated by the Caldwell-Luc expanded technique and endoscopic surgery, 1 patient with a Fisch IIIA tumor who was treated by the degloving mid-facial technique and endoscopic surgery, and 1 with a Fisch IV tumor who was treated by the degloving mid-facial technique associated with craniotomy and endoscopic surgery.

Irradiation may be an option if surgery is not possible or only incomplete resection achieved 2,4,6. Articles Cases Courses Quiz. Accessed December 31st, It shows very aggressive behavior due to local invasiveness and is associated with various symptoms. The most significant risk is blindness, for patients aniofibroma occlusion of the ophthalmic nasofafngeo middle cerebral artery through the collateral circulation.

Arterial embolization in the management of posterior epistaxis. Thank you for updating your details.

The second patient, also with a Fisch I tumor, underwent clamping of the external carotid arteries without embolization. Int J Pediatr Otorhinolaryngol. Supply of these tumours is usually via Recent advances in the treatment of juvenile angiofibroma. To retrospectively describe our experience angioflbroma the diagnosis and treatment of patients with juvenile nasopharyngeal angiofibroma.


None of our patients experienced complications due to embolization. Moreover, the mean blood loss in these patients was mL. Seventeen patients required clamping of the external carotids and tumor embolization. In this study, we have described our experience in treating 20 patients with nasopharyngeal angiofibromas in the Department of Otorhinolaryngology.

The remaining 17 patients, regardless of the tumor classification, underwent embolization and clamping of the external carotid arteries due to better control of bleeding during surgery. Juvenile nasopharyngeal angiofibroma is a rare, highly vascular, and histologically benign tumor, generally observed in male adolescents.

Laterally, these tumors may extend to and fill the pterygomaxillary fossa, causing the posterior wall of the maxillary sinus to bulge and eroding the pterygoid plate. Case 1 Case 1. The classic triad of epistaxis, unilateral nasal obstruction, and a mass in the nasopharynx suggests a diagnosis of nasopharyngeal angiofibroma and is supplemented by imaging 11 12 13 14 Introduction Nasopharyngeal angiofibroma is a histologically and biologically benign tumor with aggressive behavior due to its location and associated symptoms including significant epistaxis and nasal obstruction 1 2 3 4 5.

Juvenile nasopharyngeal angiofibroma | Radiology Reference Article |

Check for errors and try again. Article accepted in October 7, Preoperative embolisation of tumour may be of some use in reducing intraoperative bleeding.

A comparative study of surgical approches. The third patient with a Fisch I tumor underwent surgery with embolization, but without clamping of the external carotid arteries. Case 2 Case 2. Squamous-cell carcinoma Adenocarcinoma Mucinous cystadenocarcinoma Large-cell lung carcinoma Rhabdoid carcinoma Nssofarngeo carcinoma Carcinoid Salivary gland—like carcinoma Adenosquamous carcinoma Papillary adenocarcinoma Giant-cell carcinoma. Recurrence in juvenile angiofibroma. Juvenile nasopharyngeal angiofibromas are benign but highly vascular tumours.


Find articles by Francis Vinicius Fontes de Lima. Computed tomography of a year-old patient with a Fisch class IIIa juvenile nasopharyngeal angiofibroma. Endoscopic Laser-assisted excision of juvenile nasopharyngeal angiofibromas. Endoscopic Ressection of Juvenile Angiofibroma: Open in a separate window.

We analyzed 20 patients with nasopharyngeal angiofibroma who underwent surgery in the otolaryngology service between and Jjuvenil Laser-assisted excision of juvenile nasopharyngeal angiofibromas.

Factors analyzed include patient age and gender, symptoms, stages, treatment, length of surgery, intraoperatory bleeding, postoperative need for nasal tampons, hospitalization time, complications, and tumor recurrence.

Angiofibroma nasofaríngeo juvenil

Combined surgery nasofaengeo of a craniotomy, degloving, and endoscopic surgery in a patient with a Fisch IVA tumor. On examination, it may be seen as a pale reddish-blue mass. Similarly, our patients ranged in age from 10 to 29 years, with a mean age of 16 years, and all were male.

By using this site, you agree to the Terms of Use and Privacy Policy. Improvements in surgical techniques are designed to shorten surgical time and thereby reduce patient morbidity. Arch Pathol Lab Med ; These tests have led to the formulations of multiple classification methods, including the FischR adkowskiA ndrewsB remerand A ntonelli methods 1 4 5 7 8.

The tumor invades the nasal sinuses or the pterygomaxillary fossa with bone destruction.