Management Dilemmas in the Treatment and Follow-Up of Advanced Juvenile Nasopharyngeal Angiofibroma

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Management dilemmas in the treatment and follow-up of advanced juvenile nasopharyngeal angiofibroma.

Advanced juvenile nasopharyngeal angiofibroma (JNA) (i.e. disease with intracranial extension) is reportedly uncommon. The optimum management form of such a clinical situation currently remains controversial. This review, of the recent English published literature, discusses the common JNA classification systems advocated, shows the advantages and disadvantages of surgical approaches used (both...

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Craniofacial resection of advanced juvenile nasopharyngeal angiofibroma.

OBJECTIVE To describe the results of a craniofacial approach to resection of stage IIIB juvenile nasopharyngeal angiofibroma, performed by an integrated skull base surgical team. DESIGN A retrospective case-series review was conducted with postoperative follow-up ranging from 28 to 63 months. SETTING Operations were performed at a tertiary medical center. PATIENTS A referred sample of 5 m...

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Juvenile Nasopharyngeal Angiofibroma

Review of the literature was performed to define the optimal treatment of patients with juvenile nasopharyngeal angiofibroma (JNA). The prognosis for this disease is extremely good if diagnosed well in time and if the tumor has not extended intracranially. Preoperative selective arterial embolization has decreased intraoperative blood loss and facilitated resection of larger tumors. Transnasal ...

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Nasal Angiomyolipoma (AML) Mimicking Juvenile Nasopharyngeal Angiofibroma

Introduction: Angiomyolipoma (AML), a benign mesenchymal tumor that commonly arises from the kidney, may be associated with tuberous sclerosis complex and perivascular epithelioid cell tumors (PEComas). Nasal angiomyolipoma is very rare and usually occurs in elderly individuals with epistaxis and nasal obstruction.   Case Report: We report a rare case of nasal angiomyoli...

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[Evolution in the treatment of juvenile nasopharyngeal angiofibroma].

INTRODUCTION Juvenile nasopharyngeal angiofibroma (JNA) is a rare benign tumour in adolescent males. It may be associated with a significant morbidity because of its anatomical location and its locally destructive growth pattern. Severe haemorrhage constitutes a high risk in JNA and its surgical management could be complex. MATERIAL AND METHOD We retrospectively analysed the clinical data fro...

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ژورنال

عنوان ژورنال: ORL

سال: 2006

ISSN: 0301-1569,1423-0275

DOI: 10.1159/000093218