Recognized since ancient times by Hippocrates, juvenile angiofibroma is an uncommon, benign and extremely vascular tumour that arises in the tissues within the sphenopalatine foramen. Rarely, it is found at other sites in the nasal cavity and paranasal sinuses. Juvenile angiofibroma accounts for less than 0.5 percent of all head and neck tumours. It develops almost exclusively in adolescent mal...

Giant cell angiofibroma (GCA) was initially described as a potentially recurrent tumor in the orbit of adults. However, it is now recognized that it can also present in other locations. The morphological hallmark is a richly vascularized patternless spindle cell proliferation containing pseudovascular spaces and floret like multinucleate giant cells. Our case was a 32-years-old female complaini...

BACKGROUND Spontaneous pneumomediastinum is a self-limiting benign disease but abnormal bronchial lesions can be rarely found incidentally, and in selected cases will require surgical resection. MATERIALS AND METHODS A 38-year-old man presented with a spontaneous pneumomediastinum. Chest computed tomography revealed an incidental linear endobronchial tumour in the aberrant tracheal bronchus. ...

Primary extranasopharyngeal angiofibroma is very rare. To date, approximately 60 cases have been reported in the English literature. Only 1 case was confined to the posterior wall of hypopharynx. In August 2000, a 68-year-old man presented with a 6-month history of progressive foreign-body sensation in the throat and intermittent inspiratory stridor. Endoscopic examination of the larynx and pha...

Juvenile nasopharyngeal angiofibroma (JNA) is a rare, benign but aggressive tumour of the nasopharynx. It occurs primarily in male adolescents. The usual presentation is either nasal obstruction or epistaxis. We present a case with complete nasal obstruction of short duration. The management is discussed with reference to the literature. Because this tumour tends to occur in men in their second...

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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OBJECTIVE To develop a new staging system for juvenile nasopharyngeal angiofibroma that reflects changes in surgical approaches (endonasal), route of intracranial extension, and the extent of vascular supply from the internal carotid artery. DESIGN Retrospective review of case series. SETTING Academic medical center. PATIENTS Patients undergoing endoscopic endonasal surgery for juvenile n...