Current management of juvenile nasopharyngeal angiofibroma: A tertiary center experience 1999-2007

Benjamin S. Bleier, David W. Kennedy, James N. Palmer, Alexander G. Chiu, Jason D. Bloom, Bert W. O'Malley

Research output: Contribution to journalArticle

43 Scopus citations

Abstract

Background: Over the past 10 years, the management of juvenile nasopharyngeal angiofibroma (JNA) has been redefined because of the improvement of transnasal skull base techniques. However, the limits of endoscopic resection still have to be fully defined. The purpose of this study was to report on a series of patients presenting with JNA in an effort to further define an optimal treatment algorithm and improve outcomes. Methods: A retrospective review was performed of 18 patients presenting to a tertiary care institution with JNA from 1999 to 2007. Patients were categorized by Andrews stage and data were collected on presentation, operative technique, and postoperative course. Results: All patients underwent preoperative embolization. Stages 1, 2, and one 3a lesions were approached endoscopically while the remainder underwent open resection. In the endoscopic group the intraoperative blood loss was almost half that of the open group (506 versus 934 mL) and the average hospital stay was 1 day less (3 vs. 4 days). Conclusion: Endoscopic resection is reasonable for Andrews stage 1, 2, and select 3a lesions and may allow for less bleeding and a shorter hospital stay. This study supports the current trend of expansion of indications for endoscopic JNA resection.

Original languageEnglish (US)
Pages (from-to)328-330
Number of pages3
JournalAmerican Journal of Rhinology and Allergy
Volume23
Issue number3
DOIs
StatePublished - Sep 25 2009
Externally publishedYes

Keywords

  • Angiofibroma
  • Embolization
  • Endoscopic surgery
  • Juvenile
  • Nasopharyngeal
  • Neoplasm
  • Skullbase

ASJC Scopus subject areas

  • Immunology and Allergy
  • Otorhinolaryngology

Fingerprint Dive into the research topics of 'Current management of juvenile nasopharyngeal angiofibroma: A tertiary center experience 1999-2007'. Together they form a unique fingerprint.

  • Cite this