History and modern aspects of treatment of juvenile nasopharyngeal angiofibroma

Juvenile nasopharyngeal angiofibroma (JNA) is a rare benign tumor that clinically manifested by epistaxis, usually occurs in males aged 9–27 years and accounts for approximately 0.5% of all head neck tumors. The article presents historical data on the diagnosis treatment JNA. Modern views etiology JNA are also represented. development such areas medicine as anesthesiology (intubation, adequate analgesia anesthesia, hemosubstitution, resuscitation), neuroradiology, endovascular surgery contributed to further push solving problem Attempts visualize treat this have accompanied evolution surgical juvenile angiofibroma. Today, one most controversial relevant modern otolaryngology neurosurgery. key optimal choice access results 32 patients with State Institution “Kolomiychenko Institute Otolaryngology NAMS Ukraine. All underwent endoscopic endonasal approach. Selective angiography embolization was performed only stages II III according Fisch classification. Patients stage I did not receive embolization. study protocol included CT MRI examinations intravenous contrast determine Fisch. Tumor recurrence observed 2 patients, these had cases pterygopalatine fossa area.