Endoscopie excision of Juvenile Nasopharyngeal Angiofibroma (JNA) was carried out with (he objective of minimizing blood loss and attempting a complete excision of the tumor under direct vision with the help of Hopkins telescopes.
A prospective 4 year study of 23 cases of JNA treated by endoscopie excision is presented. Of these, 18 were treated by endoscopie excision alone. The remaining 5 were treated with a two staged approach either by mid-facial degloving followed by endoscopy or by 2 endoscopie procedures.
The tumor was excised completely in 17 out of the total 18 cases that were treated exclusively by endoscopy. One case has shown a recurrence. The 5 cases treated by the staged approach represented very large tumours or tumours with intra-cranial extensions. In I of these cases, inoperable tumor remnant engulfing the internal carotid artery was treated by radiotherapy post-operatively. Conclusion: With successful excision of JNA in all but one case, we could reasonably conclude, that endoscopie excision of JNA could become a safer and a more precise alternative to open surgery provided it is practiced judiciously by surgeons who have considerable experience in endoscopie surgery and the necessary backup to convert to open surgery should the need arise.
This is a preview of subscription content, log in to check access.
Buy single article
Instant access to the full article PDF.
Price includes VAT for USA
Subscribe to journal
Immediate online access to all issues from 2019. Subscription will auto renew annually.
This is the net price. Taxes to be calculated in checkout.
Batsakis J G (1979): Vasoformative tumors. In Batsakis J G; editor. Tumors of the Head and Neck, Clinical and Pathological Considerations. 2nd ed. Baltimore, London: Williams & Wilkins Co.: 296–300.
Neel HB III, Whicker JH, Devine KD et al (1973): Juvenile Angiofibroma: review of 120 cases. American Journal of Surgery; 126: 547–56
Shaheen OH (1987): Angiofibroma. In: Evans John NG, Kerr AG, Groves J. editors. Scott-Brown’s Otolaryngology, 5th ed. London, Boston: Butterworth: Vol 6, 291–96.
McGahan RA, Durrance FY, Parke RB Jr et al (1989): The treatment of advanced juvenile nasopharyngeal angiofibromas. International Journal of Radiation Oncology and Biol. Physics; 17(5): 1067–72
Neel H.B. III, (1985) Juvenile Angiofibroma: In: Blitzer A, Lawson W, Friedman WH, editors. Surgery of the Paranasal Sinuses. 1st ed. Philadelphia: W. B. Saunders Co.; 247–259
Herman P, Lot G, Chapot R et al (1999): Long-term follow-up of Juvenile nasopharyngeal angiofibromas: analysis of recurrences, Laryngoscope 109:140–147.
Shenoy AM, Grover N, Janardhan N et al (2002): Juvenile Nasopharyngeal Angiofibromas: A study of recurrence pattern and role of pre-operative embolisation - ‘A decade’s experience’ Indian journal otolaryngology and head and neck surgery 54(4), 274–279.
Kamel RH (1996): Transnasal endoscopie surgery in juvenile nasopharyngeal angiofibroma. Journal of Laryngology and Otology; 110: 962–8.
Tranbahuy, Borsik M, Herman P et al (1994): A Direct intratumoral embolisation of juvenile angiofibroma, American Journal of Otolaryngology 15 (6): 429–35
Fisch U (1983): The infratemporal fossa approach for nasopharyngeal tumors. Laryngoscope; 93(1): 36–44.
About this article
Cite this article
Bradoo, R.A., Muranjan, S.N., Nerurkar, N.K. et al. Endoscopic excision of Juvenile nasopharyngeal angiofibroma — A comprehensive approach. Indian J Otolaryngol Head Neck Surg 55, 255–262 (2003). https://doi.org/10.1007/BF02992432
- Juvenile Nasopharyngeal Angiofibroma
- Endoscopie excision