Authors: Trichy Narayanan Janakiram Shilpee Bhatia Sharma Vidya Bhargavan Panicker
Publish Date: 2016/07/12
Volume: 68, Issue: 3, Pages: 263-269
Abstract
To approach Juvenile nasopharyngeal angiofibroma extending to the sphenoid sinus pterygoid wedge and minimal involvement of the pterygopalatine fossa Radkowski Stage 2 A with an endoscopic technique without embolization with no recurrence and minimal morbidity and mortality This is a retrospective descriptive study based on the medical records of 15 patients with histologically confirmed JNA who underwent endoscopic binostril four handed endoscopic excision in our centre without embolisation between 2010 and 2015 All 15 patients were young males with a mean age of 1413 years who underwent endoscopic excision of JNA without embolisation Nasal obstruction 100 and epistaxis 100 were the most common symptoms Average surgery length was 1 h 41 min Mean blood loss was 672 ml and none of patients required blood transfusion All patients had crusting and septal defect postoperatively only 3 20 had synechiae Mean hospitalization time was 366 days 2 1333 of our patients had a residual tumor and one 666 had a relapse in pterygoid wedge There were no cases of death or significant morbidity The follow up period was 1 year Endoscopic endo nasal bi nostril four handed technique can achieve complete resection without embolization in case of small to medium sized JNA s in the hands of an experienced surgeon with minimal blood loss low rates of recurrence and morbidity
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