BACKGROUNDJuvenile Nasopharyngeal Angiofibroma (JNA) is a locally aggressive benign vascular tumour exclusively amongst adolescent males. General characteristics, management and outcomes of 22 patients of JNA who have taken treatment at a tertiary Hospital in Kerala between 2003 and till 2008 were studied and evaluated. Aim and Objective -This is a partly retrospective and partly prospective study to determine general characteristics, management and outcomes amongst the local population of Southern part of Kerala.
MATERIALS AND METHODS
RESULTSAll patients were males and their age varied from 13 -31 years at first presentation with a mean age of 19.5 years. The highest incidence was noted in the age group of 16 to 20 years (50%). Nasal obstruction and nasal bleeding were the main presenting symptoms, 75% and 83.83% respectively. CT scan and MRI were helpful in 86% of cases to demarcate the tumour and plan surgical approaches. Lateral rhinotomy was done in 45.83% and in 29.16% trans-palatal approach was used; 12 patients were subjected to embolisation prior to surgery. Surgery was the first line of treatment for all our patients. Recurrences were seen in 2/22 (9.09%). No major complications encountered in the study.
CONCLUSIONJuvenile nasopharyngeal angiofibroma is a benign, highly vascular, locally aggressive tumour exclusively affecting adolescent males. Its common symptoms are nasal bleeding and nasal obstruction. Computerised tomography is a must to assess the extent of lesion and for planning of treatment. Preoperative embolisation and hypotensive anaesthesia has considerably helped to decrease blood loss. Surgery is the goal of standard in treatment.