Resumen. LESCAILLE TORRES, Juan Gualberto. Juvenile nasopharyngeal angiofibroma. Rev Cubana Med Gen Integr [online]. , vol, n.2, pp. PDF | On Apr 2, , Luis Fernando Padilla and others published Angiofibroma nasofaríngeo juvenil: serie de casos del Hospital Universitario. Download Citation on ResearchGate | Angiofibroma nasofaríngeo juvenil: A propósito de un caso | A Caucasian year old boy presenting a relative health .

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Long-term tumor recurrence has been reported due to incomplete initial resection.

Received Aug 21; Accepted Oct 7. Since the division of the tumor was performed preferably the portion of smaller diameter almost always at the height of the sphenopalatine foramen near the side wall of the nasal cavity and dividing this act was carried out only after control of adjacent structures such as septum, middle turbinate and lateral nasal wall.

Tumors that sngiofibroma extend into the infratemporal fossa may progress into the orbit, through the inferior orbital fissure and to the base of the skull through the base of the pterygoid process. Surgery combined with preoperative embolization is the major treatment for JNA. A seven-year experience with patients with juvenile nasopharyngeal angiofibroma.

Methods We analyzed 20 patients with nasopharyngeal angiofibroma who underwent surgery in the otolaryngology service between and Definitive Radiotherapy for Juvenile Nasopharyngeal Angiofibroma. Hasofaringeo analyzed include patient age and gender, symptoms, stages, treatment, length of surgery, intraoperatory bleeding, postoperative need for nasal tampons, hospitalization time, complications, and tumor recurrence.

ANGIOFIBROMA JUVENIL NASOFARINGEO by renzo paredes terrones on Prezi

Aromatase may play a critical role in the pathogenesis masofaringeo juvenile nasopharyngeal angiofibroma. Article accepted in October 7, This may have been due to their relatively early diagnosis, when tumors are found smaller and easier to remove completely, as well as due to the use of endoscopic surgery, which assists in controlling tumor removal, including more accurate examinations of the spaces previously occupied by the tumor. A retrospective case study of five cases of NAJ underwent surgery solely with endoscopic technique of two surgeons.


The mean operation time was min, and the mean bleeding volume was mL. A biopsy is recommended only in cases of diagnostic uncertainty4. CT of the paranasal sinuses.

The volume of intraoperative bleeding has been shown to be similar in patients with and without embolization 34whereas tendency to relapse was greater in patients undergoing embolization. Article accepted in April 21, Open in a separate window. We performed the opening of the posterior wall of the maxillary sinus with the aid of a Kerrison forceps delicate.

The average age at diagnosis was Universidade Federal de Sergipe. After this sequence was performed inferior turbinectomy nearest the insertion of the inferior turbinate to the lateral nasal wall, with subsequent removal of the medial wall nasofarinteo maxilla. Treatment trends in patients during 40 years. Medical treatment and radiation therapy are only of historical interest.

Nasopharyngeal angiofibroma

This relatively low blood loss may be due to the use of surgical endoscopy, providing better control of bleeding than open surgery, with juvenip without endoscopy. The recurrence rate of tumors resected endoscopically has been shown to be low.

Anngiofibroma nasopharyngeal angiofibroma is a rare, highly vascular, and histologically benign tumor, generally observed in male adolescents. None of our patients experienced complications due to embolization.


Aangiofibroma Brasileira de Otorrinolaringologia. HUANG et al 25 show that the technique with two surgeons via the transseptal later shows less morbidity and lower rate of recurrence after resection of the tumor proper. Recent advances in the treatment of juvenile angiofibroma. Exclusively endoscopic removal of juvenile nasopharyngeal angiofibroma: The tumor invades the infratemporal fossa or orbit without intracranial involvement.

We also found that patients who underwent clamping of ajgiofibroma external carotid artery and embolization showed less intraoperative bleeding than patients who underwent embolization alone. We started the first surgical dissection of the tumor through a unciform process incision, anterior and posterior ethmoidectomy with wide exposure of the lamina papyracea and the ethmoid roof.

Nasopharyngeal angiofibroma: Our experience and literature review

The most significant risk is blindness, for patients with occlusion of the ophthalmic or middle cerebral artery through the collateral circulation. Since then, several cases have been reported, all showing that endoscopic resection resulted in lower morbidity during the early stages of disease Sociedade Brasileira de Otorrinolaringologia. All patients were treated surgically, including 17 who underwent endoscopic surgery.

They may extend towards the nasopharynx, which includes the maxillary, ethmoid, and sphenoid sinuses. The other 17 patients required only endoscopic surgery.