Hostname: page-component-cd9895bd7-jkksz Total loading time: 0 Render date: 2024-12-28T21:07:28.789Z Has data issue: false hasContentIssue false

Angiofibromas of the postnasal space: A critical appraisal of various therapeutic modalities

Published online by Cambridge University Press:  29 June 2007

S. C. Mishra*
Affiliation:
Departments of Otorhinolaryngology and Radiotherapy, King George's Medical College, Lucknow (UP), India.
G. K. Shukla
Affiliation:
Departments of Otorhinolaryngology and Radiotherapy, King George's Medical College, Lucknow (UP), India.
Naresh Bhatia
Affiliation:
Departments of Otorhinolaryngology and Radiotherapy, King George's Medical College, Lucknow (UP), India.
M. C. Pant
Affiliation:
Departments of Otorhinolaryngology and Radiotherapy, King George's Medical College, Lucknow (UP), India.
*
Dr S.C. Mishra, C-427, Sector B, Mahanagar, Lucknow 226 006, India.

Abstract

Angiofibromas of the postnasal space are an enigma to the treating surgeon in view of their extensions around the skull base. The availability of modern investigative procedures has to some extent facilitated the decision making process in choosing a suitable surgical approach.

Proper tumour staging and the earliest and widest possible exposure tailored to the needs of the specific situation together with adequate blood replacement is the key to success in minimizing the chances of the recurrence.

The present study aims at an evaluation of the methodology adopted in 100 serial cases of angiofibromas of the postnasal space. After initial surgery, a further 31 procedures were needed for the management of recurrences.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1991

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Antonelli, A. R., Cappiello, J., Dilorenzo, D., Donago, G. A., Nicolai, P., Oriandini, A. (1987) Diagnosis staging and treatment of juvenile nasopharyngeal angiofibroma. Laryngoscope, 97: 13191325.CrossRefGoogle ScholarPubMed
Benghiat, A. (1986) Juvenile nasopharyngeal angiofibroma treated by radiotherapy. Journal of Laryngology and Otology, 100: 351356.Google Scholar
Bhatia, M. L., Mishra, S. C. (1967) Lateral extensions of nasopharyngeal fibroma. Journal of Laryngology and Otology, 81: 99106.Google Scholar
Bhatia, M. L., Mishra, S. C., Prakash, J. (1967) Intracranial extensions of juvenile angiofibroma nasopharynx. Journal of Laryngology and Otology, 81: 13951403.CrossRefGoogle ScholarPubMed
Bocca, E. (1971) Transpharyngeal approach to nasopharyngeal fibroma. Annals of Otology, Rhinology, and Laryngology, 80: 171176.Google Scholar
Briant, T. D. R., Fitzpatrick, P. J., Barman, J. (1978) Naso-pharyngeal angiofibroma—a 20 years study. Laryngoscope, 88: 12471251.CrossRefGoogle Scholar
Chandler, J. R., Moskowitz, L., Goulding, R., Quencer, R. M. (1984) Nasopharyngeal fibroma—staging and management. Annals of Otology, Rhinology and Laryngology, 93: 322329.CrossRefGoogle ScholarPubMed
Chen, K. T. K., Bauer, F. W. (1983) Sarcomatous transformation of nasopharyngeal angiofibroma. CAncer, 49: 369371.Google Scholar
Conley, J., Price, J. C. (1979) Sublabial approach to the nasal and nasopharyngeal cavities. American Journal of Surgery, 138: 615618.Google Scholar
Cummings, B. J. (1988) Place of radiotherapy in the management of juvenile angiofibroma. Dilemmas in otorhinolaryngology. (Harrison, D. F. N., ed.) Churchill Livingstone: London, p. 223237.Google Scholar
Fisch, U. (1983) Infratemporal fossa approach for nasopharyngeal tumours. Laryngoscope, 93: 3644.CrossRefGoogle Scholar
Gay, I., Linden, J. E., Gordon, R. (1983) Oronasal fistula—a possible complication of preoperative irradiation in the management of juvenile nasopharyngeal angiofibroma. Journal of Laryngology and Otology, 97: 651656.CrossRefGoogle Scholar
Goepfert, H., Cangir, A., Lee, Y. Y. (1985) Chemotherapy for aggressive juvenile nasopharyngeal angiofibromas. Archives of Otolaryngology, 111: 285289.Google Scholar
Gudea, F., Vega, M., Canals, E., Montserrat, J. M., Valdano, J. (1990) Role of radiation therapy for ‘juvenile’ angiofibroma. Journal of Laryngology and Otology, 104: 725726.Google Scholar
Harma, R. A. (1958) Nasopharyngeal angiofibroma—a clinical and histological study. Ada Otolaryngologica, Supplement 146: 176.Google Scholar
Harrison, D. F. N. (1976) Juvenile postnasal angiofibroma—an evaluation. Clinical Otolaryngology, 1: 187197.CrossRefGoogle ScholarPubMed
Harrison, D. F. N. (1987) The natural history, pathogenesis, and treatment of juvenile angiofibroma. Archives of Otolaryngology Head and Neck Surgery, 113: 936942.Google Scholar
Hiranandani, L. H. (1965) Nasopharyngeal fibroma. Revue de Laryngologie (Bordeaux), 910: 733746.Google Scholar
Jones, G. C., De Santo, L. W., Bremer, W., Neel, B. (1986) Juvenile angiofibroma—behaviour and treatment of extensive and residual tumours. Archives of Otolaryngology Head and Neck Surgery, 112: 11911193.Google Scholar
King, H. C., Story, S. R. (1959) Blood loss during tonsillectomy. Archives of Otolaryngology, 70: 153156.Google Scholar
Lasjaunias, P. (1980) Nasopharyngeal angiofibromas: Hazards of embolization. Radiology, 136: 119123.Google Scholar
Lloyd, G. A. S., Phelps, P. D. (1986) Juvenile angiofibroma. Imaging by magnetic resonance, CT and conventional techniques. Clinical Otolaryngology, 59: 675683.Google Scholar
Mishra, S. C., Bhatia, M. L. (1964) The clinical study of nasopharyngeal fibroma. A thesis for Master of Surgery (Otolaryngology) Lucknow University.Google Scholar
Mishra, S. C., Misra, R. N. (1974) Problems of recurrences in nasopharyngeal fibroma. Proceedings of the X world Congress of Otolaryngology—Venice. 1973 Arslan, M. ed. Excerpta Medica, Amsterdam, p. 256257.Google Scholar
Mishra, S. C., Misra, R. N., Wahal, K. M. (1981) Clinico-pathological profile of recurrences in postnasal angio-fibroma. Indian Journal of Otolaryngology, 33: 141143.Google Scholar
Mishra, S. C., Shukla, G. K., Bhatia, , Naresh, , Pant, M. C. (1989) A rational classification of angiofibromas of the postnasal space. Journal of Laryngology and Otology, 103: 912916.Google Scholar
Misra, R. N., Mishra, S. C. (1965) Nasopharyngeal angio-fibroma. Proceedings of the VIII International Congress of Otorhinolaryngology, Tokyo, Japan, Excerpta Medica, Amsterdam, p. 698700.Google Scholar
Patil, R. N., Agarwal, A. K., Prakash, B., Ghosh, P. (1982) Extranasopharyngeal extension of angiofibroma. Journal of Laryngology and Otology, 96: 10531064.Google Scholar
Pinsolle, J., Siberchicot, F., Emparanza, A., Caix, P., Michelet, F. X. (1989) Approach to the pterygomaxillary space and posterior part of the tongue by lateral stair step mandibulotomy. Archives of Otolaryngology Head and Neck Surgery, 115: 313315.CrossRefGoogle Scholar
Samy, L. L., Girgis, I. H. (1965) Transzygomatic approach for nasopharyngeal fibroma with extrapharyngeal extension. Journal of Laryngology and Otology, 79: 782795.Google Scholar
Sardana, D. S. (1965) Nasopharyngeal fibroma. Archives of Otolaryngology, 81: 584588.Google Scholar
Spector, G. J. (1988) Management of juvenile angiofibromata. Laryngoscope, 98: 10161026.Google Scholar
Tandon, D. A., Bahadur, S., Kacker, S. K., Goulatia, R. K. (1988) Nasopharyngeal angiofibroma—a nine year experience. Journal of Laryngology and Otology, 100: 599603.Google Scholar
Waldman, S. R., Levine, H. L., Astor, F., Wood, B. G., Weinstein, M., Tucker, M. H. (1981) Surgical experience with nasopharyngeal fibroma. Archives of Otolaryngology, 107: 667682.Google Scholar
Wilson, C. P. (1957) Observations on surgery of the nasopharynx. Annals of Otology, Rhinology and Laryngology, 66: 640.Google Scholar