A five-year experience in endoscopic endonasal excision of juvenile nasopharyngeal angiofibroma

Siew Chung, Cheah and Li Yun, Lim and Salina, Binti Hussain and Ing Ping, Tang (2021) A five-year experience in endoscopic endonasal excision of juvenile nasopharyngeal angiofibroma. Polish Annals of Medicine (2021). pp. 1-5.

WarningThere is a more recent version of this item available.
[img] PDF
endoscopic1.pdf

Download (291kB)
Official URL: http://www.paom.pl/A-five-year-experience-in-endos...

Abstract

Introduction: Juvenile nasopharyngeal angiofibroma (JNA) is a histological benign but locally aggressive vascular tumour which can invade the base of skull. Aim: This is a retrospective study with the aim to examine the outcome of patients with JNA and endoscopic endonasal excision of tumour at a tertiary center in Malaysia. Material and methods: 9 patients were identified from the medical record office from 2015 to 2019. We review the data on patient demographics, clinical presentations, laboratory investigations, intraoperative blood loss and duration of hospital stay. Results and discussion: 8 patients were male, 1 was female. The average age of diagnosis was 15 (range 11 to 29) years. The commonest chief complaint was recurrent epistaxis, followed by nasal obstruction and nasal discharge. Three patients were at stage I, 4 patients at stage II, 1 patient at stage III and 1 patient at stage IV based on Fisch classification. All patients underwent primary endoscopic endonasal excision of tumour with no vascular, ophthalmological or neurological complication. Seven patients had preoperative embolization done. Average operation time was 137 minutes (range 60–360 minutes). Intraoperative blood lost varied from 500 mL to 1300 mL (mean 777.7 mL). All patients were discharged well with no recurrence. Conclusions: The management of JNA can be challenging. The current shift in management favouring endoscopic endonasal excision of JNA reduces postoperative morbidity. It is possible to be applied on all stages of tumour with good success rate.

Item Type: Article
Uncontrolled Keywords: Juvenile nasopharyngeal angiofibroma Endoscopic approach, Endoscopic endonasal, UNIMAS, University, Borneo, Malaysia, Sarawak, Kuching, Samarahan, IPTA, education, Universiti Malaysia Sarawak
Subjects: R Medicine > RF Otorhinolaryngology
Divisions: Academic Faculties, Institutes and Centres > Faculty of Medicine and Health Sciences
Depositing User: Li Yun
Date Deposited: 19 Sep 2021 02:58
Last Modified: 19 Sep 2021 02:58
URI: http://ir.unimas.my/id/eprint/36121

Available Versions of this Item

Actions (For repository members only: login required)

View Item View Item