Nasopharyngeal Angiofibroma-changing Trends in the Management

Panda, Naresh K.; Gupta, Gaurav; Sharma, Suresh C.; Gupta, Ashok

doi:10.1007/s12070-011-0338-z

Cited by 18 publications

(16 citation statements)

References 21 publications

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“…The treatment for the nasopharyngeal angiofibroma can present formidable problems for the surgeon. These most notably are concerned with the management of bleeding during extirpation of the lesion and because of these problems, the subject has stimulated a great deal of interest among Otolaryngologists and Head and neck surgeons [4].…”

Section: Introductionmentioning

confidence: 99%

Juvenile Nasopharyngeal Angiofibroma: A Rise in Incidence

Tiwari

Teron

Saikia

et al. 2015

Indian J Otolaryngol Head Neck Surg

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Juvenile nasopharyngeal angiofibroma is a very rare, highly vascular, uncapsulated and locally invasive tumor. Recently a changing trend has been seen in its epidemiology, pathogenesis, diagnosis, medical management, pre-operative care, surgical management and postoperative care including radiotherapy. Study the changing trend basically in the north-eastern region of south-east Asia and its prospects. Retrospective study of patients presenting with JNA between the study period of 6 months (October 2014-March 2015 in the, Department of Otolaryngology and Head and Neck Surgery, Assam Medical College, Dibrugarh, Assam, India. Incidence in comparison to previous studies has increased. Eight patients were treated in the study period. Different approaches were used. Mean age of presentation was 18 years and more than 75 % of them were either Stage III or Stage IV. Different approaches like transpalatine, transpalatine along with transnasal, lateral rhinotomy and endoscopic surgery were used. The recurrence rate was 12.5 %. Surgery by transpalatine approach should be the choice of treatment. Endoscopic resection should be only used for Stage I or Stage II disease.

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Section: Introductionmentioning

confidence: 99%

Juvenile Nasopharyngeal Angiofibroma: A Rise in Incidence

Tiwari

Teron

Saikia

et al. 2015

Indian J Otolaryngol Head Neck Surg

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“…Even highly vascular lesions like angiofibroma can be removed endoscopically. 13 In the present study, all the cases of JNA were addressed by the transpalatal approach with complete resection and without recurrence. Various other approaches like lateral rhinotomy, Caldwell-Luc approach, etc.…”

Section: Discussionmentioning

confidence: 91%

“…12 It is worth mentioning that these tumours are highly vascular tumours which can be diagnosed on the basis of its typical history, clinical examination and radiological and angiographic findings. 13 Preoperative biopsy is contraindicated because of the risk of torrential bleeding. Nasal haemangiomas are rare lesions and are mostly capillary type and arise from the nasal septum.…”

Section: Discussionmentioning

confidence: 99%

Sinonasal Mass - A Diverse Clinicopathological Entity – An Experience in a Tertiary Care Centre in the North Eastern India

Das¹,

Das²

2016

jemds

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BACKGROUNDMass in the nasal cavity is frequently encountered in routine ENT practice. The histopathological profiles of these masses are diverse and diagnosis can often be challenging for the clinician and the pathologist. MATERIALS AND METHODSA one-year observational study was conducted in a tertiary care centre to study the clinicopathological profile of sinonasal mass. RESULTSA total of 34 cases were included in the study which included 22 males and 12 females. The most common presenting complaints were nasal obstruction (88.2%) followed by epistaxis (44.1%). Though majority of the patients presented within six months of onset of symptoms, about 35.3% of the patients presented within six to twelve months of the onset of symptoms. Sinonasal polyps (47.1%) were the most common histological diagnosis while squamous cell carcinoma of the maxilla was the most common malignancy (17.6%), followed by sinonasal lymphoma and melanoma (5.9% each) and olfactory neuroblastoma (2.9%). 73% of the lesions were amenable to surgical treatment. CONCLUSIONThe treatment of sinonasal lesions depend on the histological profile and the diagnosis of the same can often be a challenging task. One has to be aware of the differential diagnosis and rule them out by proper histological evaluation.

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“…15,16 In conclusion, the distinction between persisting tumor tissue and a progressing symptomatic recurrence is mandatory for the planning of further follow-up and other following therapies. Especially, the use of adjuvant radiotherapy, as it is argued by some authors, 17,18 should be assessed very carefully in patients in this regard.…”

Section: Discussionmentioning

confidence: 99%

Morbidity and Volumetric Progression in Juvenile Nasopharyngeal Angiofibroma in a Long-Term Follow-Up

et al. 2018

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Objective We compare the open and transnasal approaches for the excision of juvenile nasopharyngeal angiofibromas regarding the rate of morbidity, and residual tumor and its symptomatic recurrence over time. In addition, we present volumetric measurements of juvenile nasopharyngeal angiofibromas over time. Methods All surgically treated patients of our institution were reviewed back to 1969 for type of surgery, residual tumor by magnetic resonance imaging (MRI)-based volumetry, recurrence, and morbidity. We performed a prospective clinical and radiological follow-up on reachable patients. Results In total, 40 patients were retrievable from our records. We were able to follow up on 13 patients after a mean of 15.7 years since surgery (range: 1–47 years). Patients operated by the open approach had a higher rate of postoperative complications and thus a higher morbidity than endoscopic patients (4/4 vs 3/9; p = 0.007), although tumor sizes were equal among groups (p = 0.12). Persisting tumor was noted in 3/4 and 4/9 (p = 0.56) patients, respectively. The corresponding mean volumes of residual tumors were 16.2 ± 14.4 cm3 and 10.8 ± 6.6 cm3 (p = 0.27). No progression could be noted in endoscopically treated patients (p = 0.24, mean time between scans 2 years). Conclusions Our analysis shows that the endoscopic approach results in less morbidity. The open approach does not guarantee freedom from persisting tumor tissue. Age seems to be a most important risk factor for the conversion of an asymptomatic persistence into a symptomatic recurrence.

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Nasopharyngeal Angiofibroma-changing Trends in the Management

Cited by 18 publications

References 21 publications

Juvenile Nasopharyngeal Angiofibroma: A Rise in Incidence

Juvenile Nasopharyngeal Angiofibroma: A Rise in Incidence

Sinonasal Mass - A Diverse Clinicopathological Entity – An Experience in a Tertiary Care Centre in the North Eastern India

Morbidity and Volumetric Progression in Juvenile Nasopharyngeal Angiofibroma in a Long-Term Follow-Up

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