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Extra-nasopharyngeal extension of juvenile angiofibroma

Published online by Cambridge University Press:  29 June 2007

P. Hazarika ,
R. G. Nayak  and
Mohan Chandran
P. Hazarika*
Affiliation:
Manipal, India
R. G. Nayak
Affiliation:
Manipal, India
Mohan Chandran
Affiliation:
Manipal, India
*
Dr. P. Hazarika, Reader and Head of ENT Unit—II, Kasturba Medical College Hospital, Manipal—576 119 (S.K.), India.
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Abstract

Nasopharyngeal angiofibroma (NPA) is a highly vascular, infiltrative tumour that occurs exclusively in the nasopharynx of young males. It is of special interest on account of its serious complications, and the difficulties that are encountered at the time of treatment. Various surgical approaches have been mentioned for both naso- and extra-nasopharyngeal angiofibromas. But a massive extra-NPA involving the naso-spheno-oro-palato-maxillary-infratemporal region, orbit and cheek is difficult to treat adequately with any of the approaches so far described in the literature. In these cases, a more radical approach (constituting embolization and subsequent clamping or ligation of the external carotid artery followed by total maxillectomy) may be needed. These procedures will not only give a dry operative field but also adequate exposure to the different parts of the extension of the tumour, thereby facilitating complete removal without any risk of recurrence.

Type
Clinical records
Information
The Journal of Laryngology & Otology , Volume 99 , Issue 8 , August 1985 , pp. 813 - 817
Copyright
Copyright © JLO (1984) Limited 1985

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References

Accuna, R. J. (1956) The nasopharyngeal fibroma and its treatment. Archives of Otolaryngology, 64: 451–455.CrossRefGoogle Scholar
Bhatia, M. L., Mishra, S. C., and Prakash, J. (1967) Lateral extension of nasopharyngeal fibroma. Journal of Laryngology and Otology, 81: 99–106.CrossRefGoogle ScholarPubMed
Brunner, H. (1942) Nasopharyngeal fibroma. Annals of Otolaryngology, 51: 29.Google Scholar
Cummings, B. J. (1980) Relative risk factors in treatment of juvenile nasopharyngeal angiofibroma. Head and Neck Surgery, 3: 21–26.CrossRefGoogle ScholarPubMed
Dibble, P. A., and King, H. C. (1962) Juvenile nasopharyngeal angiofibroma. Laryngoscope, 72: 218–231.CrossRefGoogle ScholarPubMed
Figi, F. A., and Davis, R. E. (1950) The management of nasopharyngeal fibromas. Laryngoscope, 60: 794(Quoted by Dibble and King, 1962).CrossRefGoogle ScholarPubMed
Fitzpatrick, P. J., Briant, T. D. R., and Berman, J. M. (1980) The nasopharyngeal angiofibroma. Archives of Otolaryngology, 106: 234–236.CrossRefGoogle ScholarPubMed
Girgis, I. H. (1973) Radiological detection of extra pharyngeal extension and nasopharyngeal fibroma. Journal of Laryngology and Otology, 87: 1130–1133.CrossRefGoogle Scholar
Gupta, O. P., and Gupta, S. K. (1971) Radiological investigations in extra pharyngeal extension of nasopharyngeal fibroma. Journal of Laryngology and Otology, 85: 827–830.CrossRefGoogle Scholar
Handousa, F. H., Farid, H., and Elwi, A. M. (1954) Nasopharyngeal fibroma. Journal of Laryngology and Otology, 68: 647–666.CrossRefGoogle ScholarPubMed
Harbert, F., and Harbert, K. (1964) Juvenile angiofibroma. Laryngoscope, 74: 1550–1556.CrossRefGoogle ScholarPubMed
Kremen, A. J. (1953) Surgical management of angiofibroma of nasopharynx. Annals of Surgery, 138: 672.CrossRefGoogle ScholarPubMed
Mishra, S. C., and Bhatia, M. L. (1964) A Clinical Study of Nasopharyngeal Fibroma. M.S. Thesis (Lucknow University).Google Scholar
Pressman, J. J. (1962) Nasopharyngeal angiofibroma. Archives of Otolaryngology, 76: 167–173.CrossRefGoogle ScholarPubMed
Samy, L. L., and Girgis, I. H. (1965) Transzygomatic approach of a nasopharyngeal fibroma with extra-pharyngeal extension. Journal of Laryngology and Otology, 79: 782–784.CrossRefGoogle Scholar
Sardana, D. S. (1965) Nasopharyngeal fibroma. Archives of Otololaryngology, 81: 584–588.CrossRefGoogle ScholarPubMed