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Management of persistent juvenile angiofibroma after endoscopic resection: Analysis of a single institution series of 74 patients
Author(s) -
Schreiber Alberto,
Bertazzoni Giacomo,
Ferrari Marco,
Ravanelli Marco,
Rampinelli Vittorio,
Mattavelli Davide,
ElNaggar Ahmed,
Nicolai Piero
Publication year - 2019
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.25555
Subject(s) - medicine , juvenile nasopharyngeal angiofibroma , surgery , angiofibroma , lesion , retrospective cohort study , otorhinolaryngology , juvenile , biology , genetics
Background Management of persistent juvenile angiofibroma (pJA) after transnasal endoscopic resection is controversial. To better understand its behavior, optimize treatment, and minimize morbidity, we report our experience in pJA focusing on follow‐up strategies and disease progression. Methods A retrospective review of clinical records of all JA cases treated with endoscopic surgery at the Unit of Otorhinolaryngology of the University of Brescia between January 1994 and October 2015 was performed. Results Seventy‐four cases were included. Mean follow‐up was 113 months (6‐266 months). Evolution of pJA was analyzed in 6 cases. Residual lesion size significantly decreased in 3 cases and 2 lesions did not show size variations; significant growth was detected in 1 case of intentional pJA, with diameter increasing by 2.2 mm/yr. Conclusions pJAs may have the tendency to regress spontaneously or remain stable. In selected cases, avoiding treatment of nongrowing pJA in critical areas is a prudent option.