Publication: A Comprehensive Approach to Juvenile Angiofibroma: Diagnosis, Staging, and Surgical Management
Date
2024
Authors
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Juvenile angiofibroma of nasopharynx is a benign but locally aggressive tumor
predominantly affecting adolescent males, characterized by hypervascular growth
in the nasopharynx. Early diagnosis and appropriate management are crucial to
prevent complications. Symptoms typically include nasal obstruction, epistaxis, and
hearing loss. Imaging techniques, such as contrast-enhanced CT and MRI, play a
pivotal role in assessing tumor size, vascularity, and involvement of surrounding
structures. Angiography, followed by embolization, is commonly used to reduce
intraoperative bleeding risk. The treatment of choice is surgical resection, which can
be performed via an endonasal, transpalatal, or combined approach, depending on
tumor extent. In cases of inoperable tumors or recurrence, radiation therapy may
be considered. Although nasopharyngeal juvenile angiofibroma has a favorable
prognosis when treated early, close monitoring for recurrence is necessary, as it
can reappear even years after surgery. Multidisciplinary management involving
otolaryngologists, radiologists, and oncologists is essential for optimal outcomes.
KEY WORDS
Diagnosis, Embolization, Juvenile angiofibroma, Nasopharynx, Surgery
Description
Shrestha BL, Shrestha P
Department of ENT-HNS
Dhulikhel Hospital, Kathmandu University Hospital
Kathmandu University School of Medical Sciences
Dhulikhel, Kavre, Nepal
Keywords
Diagnosis, Embolization, Juvenile angiofibroma, Nasopharynx, Surgery