Navigating the nasopharyngeal maze: Balanced surgical approach for advanced juvenile angiofibromas
Juvenile nasopharyngeal angiofibroma (JNA) are fibrovascular tumors of the nasopharynx. These tumors are very vascular and non-encapsulated and predominantly affect young males aged 14–25 years. Clinically, JNA presents with unilateral nasal obstruction and recurrent epistaxis. Advanced instances ma...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-03-01
|
| Series: | Advances in Oral and Maxillofacial Surgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667147625000056 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832582127678390272 |
|---|---|
| author | Sowrabh Kumar Arora Sumanth Bollu Bhavya Mishra |
| author_facet | Sowrabh Kumar Arora Sumanth Bollu Bhavya Mishra |
| author_sort | Sowrabh Kumar Arora |
| collection | DOAJ |
| description | Juvenile nasopharyngeal angiofibroma (JNA) are fibrovascular tumors of the nasopharynx. These tumors are very vascular and non-encapsulated and predominantly affect young males aged 14–25 years. Clinically, JNA presents with unilateral nasal obstruction and recurrent epistaxis. Advanced instances may result in proptosis, cranial neuropathy, facial edema, and potentially fatal bleeding. The tumors exhibit local invasiveness which can extend intracranially. In this study, we reviewed two cases of extensive nasopharyngeal angiofibroma treated at our institute using the maxillary swing technique. The surgical approach was chosen based on tumor extent, blood supply, and the presence or absence of intracranial extension. Preoperatively, patients underwent tracheostomy and embolization. Both patients underwent successful surgical excision via the maxillary swing approach. We report the anticipated complications, their management, and the outcomes of these cases. Long-term follow-up revealed no recurrence, and both patients regained normal nasal function. |
| format | Article |
| id | doaj-art-d5428ca284074703b1ea16248c8e5e1f |
| institution | Kabale University |
| issn | 2667-1476 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Advances in Oral and Maxillofacial Surgery |
| spelling | doaj-art-d5428ca284074703b1ea16248c8e5e1f2025-01-30T05:15:10ZengElsevierAdvances in Oral and Maxillofacial Surgery2667-14762025-03-0117100518Navigating the nasopharyngeal maze: Balanced surgical approach for advanced juvenile angiofibromasSowrabh Kumar Arora0Sumanth Bollu1Bhavya Mishra2Department of Surgical Oncology, Max Super Speciality Hospital, Vaishali, Uttar Pradesh, IndiaDepartment of Surgical Oncology, Max Super Speciality Hospital, Vaishali, Uttar Pradesh, IndiaCorresponding author.; Department of Surgical Oncology, Max Super Speciality Hospital, Vaishali, Uttar Pradesh, IndiaJuvenile nasopharyngeal angiofibroma (JNA) are fibrovascular tumors of the nasopharynx. These tumors are very vascular and non-encapsulated and predominantly affect young males aged 14–25 years. Clinically, JNA presents with unilateral nasal obstruction and recurrent epistaxis. Advanced instances may result in proptosis, cranial neuropathy, facial edema, and potentially fatal bleeding. The tumors exhibit local invasiveness which can extend intracranially. In this study, we reviewed two cases of extensive nasopharyngeal angiofibroma treated at our institute using the maxillary swing technique. The surgical approach was chosen based on tumor extent, blood supply, and the presence or absence of intracranial extension. Preoperatively, patients underwent tracheostomy and embolization. Both patients underwent successful surgical excision via the maxillary swing approach. We report the anticipated complications, their management, and the outcomes of these cases. Long-term follow-up revealed no recurrence, and both patients regained normal nasal function.http://www.sciencedirect.com/science/article/pii/S2667147625000056Selective artery embolizationNasopharyngeal tumorSoft tissue angiofibromaMaxillary swing techniqueHead and neck neoplasms |
| spellingShingle | Sowrabh Kumar Arora Sumanth Bollu Bhavya Mishra Navigating the nasopharyngeal maze: Balanced surgical approach for advanced juvenile angiofibromas Advances in Oral and Maxillofacial Surgery Selective artery embolization Nasopharyngeal tumor Soft tissue angiofibroma Maxillary swing technique Head and neck neoplasms |
| title | Navigating the nasopharyngeal maze: Balanced surgical approach for advanced juvenile angiofibromas |
| title_full | Navigating the nasopharyngeal maze: Balanced surgical approach for advanced juvenile angiofibromas |
| title_fullStr | Navigating the nasopharyngeal maze: Balanced surgical approach for advanced juvenile angiofibromas |
| title_full_unstemmed | Navigating the nasopharyngeal maze: Balanced surgical approach for advanced juvenile angiofibromas |
| title_short | Navigating the nasopharyngeal maze: Balanced surgical approach for advanced juvenile angiofibromas |
| title_sort | navigating the nasopharyngeal maze balanced surgical approach for advanced juvenile angiofibromas |
| topic | Selective artery embolization Nasopharyngeal tumor Soft tissue angiofibroma Maxillary swing technique Head and neck neoplasms |
| url | http://www.sciencedirect.com/science/article/pii/S2667147625000056 |
| work_keys_str_mv | AT sowrabhkumararora navigatingthenasopharyngealmazebalancedsurgicalapproachforadvancedjuvenileangiofibromas AT sumanthbollu navigatingthenasopharyngealmazebalancedsurgicalapproachforadvancedjuvenileangiofibromas AT bhavyamishra navigatingthenasopharyngealmazebalancedsurgicalapproachforadvancedjuvenileangiofibromas |