Open AccessNASOPHARYNGEAL ANGIOFIBROMA
Author(s) -
Raza Muhammad,
Altaf Hussain,
Akhtar Zaman,
Fazal Ur Rehman,
Zakir Khan
Publication year - 2015
Publication title -
the professional medical journal/the professional medical journal
Language(s) - English
Resource type - Journals
eISSN - 2071-7733
pISSN - 1024-8919
DOI - 10.29309/tpmj/2015.22.08.1155
Subject(s) - medicine , juvenile nasopharyngeal angiofibroma , stage (stratigraphy) , angiofibroma , head and neck , surgery , radiation therapy , disease , radiology , paleontology , biology
Juvenile nasopharyngeal angiofibroma (JNA) is an uncommon tumor constitutingless than 1% of all head & neck tumors. Tumor has an aggressive local behavior if left untreated.Surgery is the mainstay of treatment with no common consensus on a single approach. Tumourstage and surgical approaches are the major determinants of tumour recurrence. Objectives:To evaluate the influence of stage of tumor in recurrence in nasopharyngeal angiofibroma.Study Design: Descriptive study. Setting: Department of ENT and Head and Neck Surgery,PIMS, Islamabad and Ayub medical institution, Abbottabad. Period: Jan 2010 to Jan 2014.Materials and Methods: Consisting of 34 diagnosed cases of nasopharyngeal angiofibroma.CT-scan was done in all patients and were treated surgically except one patient who wasirradiated. All patients were followed up for one year. Results: Among 34 patients, 24 patientswere classified as stage III, 4 were in stage II and 5 were in stage IVa and one in stage IVb. 17.6%(6/34) of patients had disease recurrence. Stage IVb was treated by radiotherapy while the restwere treated surgically. Patients were followed up for one year both by clinical examinationand imaging. Recurrence was found in 5 operated patients and residual disease in stage IVb. 1 (20%) patient of stage Iva disease and 4 (16%) patients of stage III disease had diseaserecurrence. Conclusion: Disease recurrence/ residual is directly related to the tumour stage innasopharyngeal angiofibroma.