Juvenile Nasopharyngeal Angiofibroma: Changing Trends

Authors: Tiwari PK*, Teron P, Saikia N, Bhuyan UT, Das D, Shukla R and Das A

DOI: 10.23880/ooaj-16000113

Volume 1, Issue 2

Abstract

Introduction: Juvenile nasopharyngeal angiofibroma is a very rare, highly vascular, unencapsulated and locally invasive tumor. Recently a changing trend has been seen in its epidemiology, pathogenesis, diagnosis, medical management, pre-operative care, surgical management and post-operative care including radiotherapy.
Aim: Study the changing trend basically in the Upper - Assam region of India and its prospects. Case setting and design: Retrospective study of patients presenting with JNA between the study period of one year (July 2014 – June 2015) in the, Department of Otolaryngology and Head and Neck Surgery, Assam Medical College, Dibrugarh, Assam, India.
Materials and methods: Fifteen patients were treated in the study period. Different approaches were used.
Results: Mean age of presentation was 16 years and more than 80 % of them were either Stage III or Stage IV. Different approaches like transpalatine, transpalatine along with transnasal, lateral rhinotomy and endoscopic surgery were used.
Conclusion: Surgery by transpalatine approach should be the choice of treatment. 

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