Juvenile Nasopharyngeal Angiofibroma - A Hospital- Based Retrospective Study
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 6, Issue 1
Abstract
Introduction: Juvenile nasopharyngeal angiofibroma is a highly vascular histologically benign, locally aggressive neoplasm of the nasopharynx. It accounts for 0.05% of all head and neck neoplasm with a high incidence of persistence and recurrence. Materials and Methods: A retrospective hospital-based study was conducted in Government Theni Medical College on cases of juvenile nasopharyngeal angiofibroma for 4 years duration in the period from 2013 to 2016. A total of 4 cases of Juvenile nasopharyngeal angiofibroma were included in this study. Observation and Results: Among four cases, three cases were presented in Stage 1. One patient presented with infratemporal fossa involvement (Stage 3). Nasal obstruction and epistaxis were the most common presentation seen in all cases. All patients underwent intranasal endoscopic removal of JNA under general anesthesia. For one patient right external carotid artery ligation was done to reduce intraoperative bleeding and elective tracheostomy to maintain the airway. Conclusion: The study previously done in various parts of the world have shown that JNA is very rare and its incidence is 0.05%. Contrast, in this study in this institution, shows the incidence was 0.02%.
Authors and Affiliations
D Ranjit Kumar, D Suresh, S Ananda Padmanaban
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