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Indian Journal of Otolaryngology and Head & Neck Surgery

Published in:

01-09-2012 | Original Article

Nasopharyngeal Angiofibroma-changing Trends in the Management

Authors: Naresh K. Panda, Gaurav Gupta, Suresh Sharma, Ashok Gupta

Published in: Indian Journal of Otolaryngology and Head & Neck Surgery | Issue 3/2012

Abstract

Juvenile nasopharyngeal angiofibroma is a rare high-risk tumor of adolescent males. To present the experience of managing extensive angiofibroma at a single institution. A retrospective analysis of patients with nasopharyngeal angiofibroma between 1980 and 2009. 150 patients have been included in the analysis. The patients have been divided into two groups depending on diagnostic and therapeutic protocols into two groups. A 1980–1990 and B from 1990 to 2009. The disease pattern, surgical approaches and outcome in the two groups have been analyzed. Surgery has been the main modality for management of this tumor. Preoperative embolization and open surgical approaches results in less blood loss and favourable outcome.

Gullane PJ, Davidson J, O’Dwyer T, Forte V (1992) Juvenile angiofibroma. A review of literature and a case series report. Laryngoscope 102:928–933PubMedCrossRef

Lloyd G, Howard D, Phelps P et al (1999) Juvenile angiofibroma: modern imaging and its influence on the surgical treatment of juvenile angiofibroma. J Laryngol Otol 113:43–44

Hendrix RA, Lenkinski RE, Vogele K, Bloch P, McKenna WG (1990) 31P localized magnetic resonance spectroscopy of head and neck tumours—preliminary findings. Otolaryngol Head Neck Surg 103:775–783PubMed

Johns ME, MacLeod RM, Cantrell RW (1980) Estrogen receptors in nasopharyngeal angiofibromas. Laryngoscope 90:628–634PubMedCrossRef

Zhang P, Liu Z (2004) 99mTc-MIBI imaging of nasopharyngeal angiofibroma. Lin Chuang Er Bi Yan Hou Ke Za Zhi 18(9):538–539PubMed

Schick B, Kahle G, Hässler R, Draf W (1996) Chemotherapy of juvenile angiofibroma—an alternative? HNO 44(3):148–152PubMed

Gates GA, Rice DH, Mann CFK et al (1992) Flutamide induced regression of angiofibroma. Laryngoscope 102:641–644PubMedCrossRef

Labra A, Chavolla-Magaña R, Lopez-Ugalde A et al (2004) Flutamide as a pre operative treatment in JNA with intracranial invasion: report of 7 cases. Otolaryngology Head-Neck surgery 130:466–469CrossRef

Carrau RL F, Snyderman CH, Kassam AB, Jungreis CA (2001) Endoscopic and Endoscopic-Assisted Surgery for Juvenile Angiofibroma. Laryngoscope 111:483–487PubMedCrossRef

10.

Nicolai P, Berlucchi M, Tomenzoli D, Cappiello J, Trimarchi M et al (2003) Endoscopic surgery for Juvenile Angiofibroma: when and how. Laryngoscope 113(5):775–782PubMedCrossRef

11.

Wilson CP (1957) Observations on the surgery of the nasopharynx. Ann Otol Rhinol Laryngol 66(1):5–40PubMed

12.

Jafek BW, Krekorian EA, Kirsch WM et al (1979) Juvenile nasopharyngeal angiofibroma: management of intracranial extension. Head Neck Surg 2:119–128PubMedCrossRef

13.

Yi ZX, Li ZC, Cheng JM, Zhang R, Chang Lin et al (2007) Huge nasopharyngeal angiofibroma with intracranial extension: change in the dura mater and choice of surgical management. J Laryngol Otol 121:1108–1112PubMedCrossRef

14.

Bales C, Kotapka M, Loevner LA (2002) Craniofacial resection of advanced juvenile nasopharyngeal angiofibroma. Arch Otolaryngol Head Neck Surg 128:1071–1078PubMed

15.

Li JR, Qian J, Shan XZ, Wang L (1998) Evaluation of the effectiveness of preoperative embolization in surgery for nasopharyngeal angiofibroma. Eur Arch Otorhinolaryngol 255:430–432PubMedCrossRef

16.

Liu L, Wang R, Huang D (2002) Analysis of intra-operative bleeding and recurrence of juvenile nasopharyngeal angiofibromas. Clin Otolaryngol Allied Sci 27:536–540PubMedCrossRef

17.

Petruson K, Rodriguez-Catarino M, Petruson B, Finizia C (2002) Juvenile nasopharyngeal angiofibromas: long term results in preoperative embolized and non embolized patients. Acta Otolaryngol 122:96–100PubMedCrossRef

18.

Mann WJ, Jecker P, Amedee RG (2004) Juvenile angiofibromas: changing surgical concept over the last 20 years. Laryngoscope 114:291–293PubMedCrossRef

19.

Tranbahuy P, Borsik M, Herman P, Wassef M (1994) Direct intratumoral embolization of juvenile angiofibroma. Am J Otolaryngol 15(6):429–435PubMedCrossRef

20.

Johnson S, Kloster J, Schiff M (1966) The action of hormones on juvenile nasopharyngeal angiofibroma. A case report. Acta otolaryngol (stockh) 61:153–160CrossRef

21.

Chabner BA, Ryan DP, Paz-Ares L et al (2001) Antineoplastic agents. In: Hardman JG, Limbird LE (eds) Goodman and Gilman’s the pharmacological basis of therapeutics, 10th edn. McGraw-Hill publishers, New York, pp 1389–1459

22.

Kuppersmith R (2000) The use of intensity modulated radiotherapy for the treatment of extensive and recurrent juvenile angiofibroma. Int J Pediatr Otorhinolaryngol 52(3):261–268PubMedCrossRef

23.

Radkowski D, McGill T, Healy GB, Ohlms L, Jones DT (1996) Angiofibroma: changes in staging and treatment volume. Arch Otolaryngol Head Neck Surg 122(2):122–129PubMedCrossRef

24.

Howard DJ, Lund VJ (2001) Recurrence and its avoidance in juvenile angiofibroma. Laryngoscope 111:1509–1511PubMedCrossRef

Title: Nasopharyngeal Angiofibroma-changing Trends in the Management
Authors: Naresh K. Panda
Gaurav Gupta
Suresh Sharma
Ashok Gupta
Publication date: 01-09-2012
Publisher: Springer-Verlag
Published in: Indian Journal of Otolaryngology and Head & Neck Surgery / Issue 3/2012
Print ISSN: 2231-3796
Electronic ISSN: 0973-7707
DOI: https://doi.org/10.1007/s12070-011-0338-z

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Nasopharyngeal Angiofibroma-changing Trends in the Management

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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