Open AccessEndoscopic excision of juvenile nasopharyngeal angiofibroma: A case series
Author(s) -
Li Yun Lim,
Irfan Mohamad,
I P Tang
Publication year - 2017
Publication title -
egyptian journal of ear nose throat and allied sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.108
H-Index - 8
eISSN - 2090-3405
pISSN - 2090-0740
DOI - 10.1016/j.ejenta.2016.12.007
Subject(s) - medicine , juvenile nasopharyngeal angiofibroma , surgery , angiofibroma , lesion , hyposmia , retrospective cohort study , presentation (obstetrics) , endoscopy , radiology , disease , covid-19 , infectious disease (medical specialty)
Objectives: To present the outcome of excision of juvenile nasopharyngeal angiofibroma (JNA)-through endoscopic approach. Method: Retrospective case series review of six cases of JNA patients, encountered between 2013 and 2015. All patients underwent endoscopic excision, preceded by embolisation. Results: All patients were male, comprised of Chinese, Malay and Bidayuh ethnics, presenting with typical complaints of progressive unilateral nasal blockage, spontaneous painless epistaxis hyposmia and sleep disturbance. The patients' presentation comprised of all four stages based on Fisch classification, with one recurrence case. Maxillary artery was the main blood supply to the lesion. Surgical approach applied was endoscopic four-handed technique of excision. All patients were discharged well with no major complications, nor cases of recurrence. Conclusion: Endoscopic approach is possible for varies stages of JNA. Preoperative angiographic embolisation has minimised the blood loss intraoperatively. The endoscopic method has reduced the post-operative morbidity. Keywords: Angiofibroma, Endoscopy, Nasal obstruction, Retrospective studie