Endonasal Endoscopic Excision of Juvenile Nasopharyngeal Angiofibroma- The Technical Difficulties & Advantages

Authors

  • Sudhangshu Shekhar Biswas Assistant Professor, Dept. of Otolaryngology & Head- Neck Surgery, BIRDEM General Hospital & Ibrahim Medical College, Dhaka
  • Zaheer Al Amin Professor & Head, Dept. of Otolaryngology & Head-Neck Surgery, BIRDEM General Hospital & Ibrahim Medical College, Dhaka
  • Zaheer Al Amin Professor & Head, Dept. of Otolaryngology & Head-Neck Surgery, BIRDEM General Hospital & Ibrahim Medical College, Dhaka
  • Rajashish Chakrabortty Assistant Professor, Respiratory Medicine, BSMMU, Dhaka
  • Rajashish Chakrabortty Assistant Professor, Respiratory Medicine, BSMMU, Dhaka
  • Shawhely Mahbub Senior Medical officer, Dept. of Otolaryngology & Head-Neck Surgery, BIRDEM General Hospital, DHaka
  • Shawhely Mahbub Senior Medical officer, Dept. of Otolaryngology & Head-Neck Surgery, BIRDEM General Hospital, DHaka
  • Soma Halder Department of Paediatrics, BSMMU, Dhaka
  • Soma Halder Department of Paediatrics, BSMMU, Dhaka

DOI:

https://doi.org/10.3329/birdem.v4i2.33192

Keywords:

Juvenile Nasopharyngeal angiofibroma, endonasal surgery, endoscopy

Abstract

Objective: Endoscopic excision of juvenile nasopharyngeal angiofibroma (JNA) was carried out with the objective of minimizing blood loss and attempting to complete excision of tumor under direct vision with the help of Hopkins telescope.

Study design: A retrospective 12 year study of 6 cases of JNA treated by endoscopic excision is presented.

Result: According to Radkowskis classification, two patients were stage Ia, two were stage Ib and two patients were stage IIb. The mean duration of the surgery was 2 hours. The mean intra-operative blood loss was 575 ml. The mean follow up after the primary operation was 23.3 months. All the patients but one were free of disease. One patient had a recurrence in the pterygopalatine fossa requiring a successful revision procedure 3 years after the primary surgery.

Conclusion: Endoscopic resection of JNA is a difficult but effective operation in experienced hands. The endoscopic management had less intra operative blood loss, lower occurrence of complications, shorter length of hospital stays and lower rate of recurrence. So it should be considered as a first choice option.

Birdem Med J 2014; 4(2): 74-78

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Author Biography

Sudhangshu Shekhar Biswas, Assistant Professor, Dept. of Otolaryngology & Head- Neck Surgery, BIRDEM General Hospital & Ibrahim Medical College, Dhaka



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Published

2014-11-10

How to Cite

Biswas, S. S., Amin, Z. A., Amin, Z. A., Chakrabortty, R., Chakrabortty, R., Mahbub, S., Mahbub, S., Halder, S., & Halder, S. (2014). Endonasal Endoscopic Excision of Juvenile Nasopharyngeal Angiofibroma- The Technical Difficulties & Advantages. BIRDEM Medical Journal, 4(2), 74–78. https://doi.org/10.3329/birdem.v4i2.33192

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Original Articles