THIS UNCOMMON lesion of the upper air passages has been a well-established entity for at least years but its precise nature and origin are still subject to. A juvenile nasopharyngeal angiofibroma (JNA) is a noncancerous tumor made up of blood vessels that grow at the posterior aspect of the nose. Typically, these. Juvenile nasopharyngeal angiofibroma (also known as nasopharyngeal fibroma) is a distinctive tumor that is associated with nasal obstruction, drainage, and.


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Juvenile nasopharyngeal angiofibroma – Knowledge for medical students and physicians

The tumor invades the nasal sinuses or the nasopharyngeal angiofibroma fossa with bone destruction. The tumor invades the infratemporal fossa or orbit without intracranial involvement.

The tumor invades the infratemporal fossa or orbit with intracranial extradural commitment. Non-surgical treatments are available, including the use of hormones estrogen, testosteroneradiation therapy, chemotherapy, and recently, embolization; however, surgery is considered the treatment of choice, with the route depending on the stage of the tumor and the overall condition of the patient 11 12 Vascularization arises most frequently from the maxillary artery i.

Surgical approaches for conventional techniques include transpalatal, transmaxillary, lateral rhinotomy, mid-facial degloving, extended sublabial Denker, and Le Fort type I osteotomy 11 13 20 The development of minimally invasive techniques has nasopharyngeal angiofibroma to the increased use of endoscopic surgery for the treatment of nasopharyngeal nasopharyngeal angiofibroma 21making it ideal for tumors confined to the nasopharynx, nasal cavity, and sphenoid sinus with minimal extension into the pterygopalatine fossa 10 12 13 15 18 The first description of an endoscopic resection was published in Proptosis when having intraorbital extension.

Symptoms JNAs typically present with nasal obstruction and epistaxis nosebleeds.

Nasopharyngeal angiofibroma: Our experience and literature review

They can also cause nasal discharge and sinusitis. News and World Report for the fifth year in a row!

It's an honor that we could not have achieved without you. On behalf of every member of our Boston Children's team, thank you for inspiring us to be bolder, nasopharyngeal angiofibroma bigger, and make the impossible possible for our patients and families.

Surgical excision is the treatment of choice, since JNAs have a high recurrence rate. Radiation stereotactic gamma knife is reserved for recurrent cases or JNAs with intracranial extension.


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