​Clinical Review Of Juvenile Nasopharyngeal Angiofibroma In Urban Tertiary Care Centre: A Retrospective Analysis

Introduction: The aim of this study was to review management, surgical approaches used, blood loss, complications, andrecurrence rate of juvenile nasopharyngeal angiofibroma (JNA) in our institution during 2002–2005 period.Materials and Methods: All patients referred for a JNA were included in the study. Medical files and imaging data wereretrospectively analyzed. Surgical management was then evaluated consecutive patients operated on from April 2002 to June2005. Case series with chart review. The study was conducted from data on patients operated from April 2002 to 2005 in MadrasMedical College and Government General Hospital.Results: A total of 42 patients were operated on, with a mean age of 16.8 years (range, 9–31 years). In the endoscopic approachblood loss was found to be <300 ml. With Weber Ferguson trans palatine extensive tumor with proptosis blood loss was >1000 mlembolization has reduced the intraoperative blood loss. Since they explored pterygopalatine fossa by removing,posterior partof medial wall and posterior wall completely, recurrence was rare.Conclusion: Progress in skull base anatomy, instrumentation, cameras, and surgical strategy allows for expansion of theindications for endoscopic removal of JNA. This approach may have a better outcome in terms of blood loss, hospital stay, andlocal sequelae. Still, an external approach should be considered only for selected cases due to a massive intracranial extensionor optic nerve or internal carotid artery entrapment by the tumor.