Endoscopic Coblation of Advanced Juvenile Nasopharyngeal Angiofibroma

Powitzky, Rosser; Pierson, Brandon; Digoy, Paul; Houck, J. R.

doi:10.1002/lary.21307

Cited by 1 publication

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“…Our proposed method of resection using the Coblator II System in many cases may limit the need for multiple instruments and improve control of intraoperative hemorrhage. Additional studies are necessary to comprehensively evaluate further applications for coblator-assisted resection of JNA [17].…”

Section: Discussionmentioning

confidence: 99%

Juvenile Nasopharyngeal Angiofibroma: A Rise in Incidence

Tiwari

Teron

Saikia

et al. 2015

Indian J Otolaryngol Head Neck Surg

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Juvenile nasopharyngeal angiofibroma is a very rare, highly vascular, uncapsulated and locally invasive tumor. Recently a changing trend has been seen in its epidemiology, pathogenesis, diagnosis, medical management, pre-operative care, surgical management and postoperative care including radiotherapy. Study the changing trend basically in the north-eastern region of south-east Asia and its prospects. Retrospective study of patients presenting with JNA between the study period of 6 months (October 2014-March 2015 in the, Department of Otolaryngology and Head and Neck Surgery, Assam Medical College, Dibrugarh, Assam, India. Incidence in comparison to previous studies has increased. Eight patients were treated in the study period. Different approaches were used. Mean age of presentation was 18 years and more than 75 % of them were either Stage III or Stage IV. Different approaches like transpalatine, transpalatine along with transnasal, lateral rhinotomy and endoscopic surgery were used. The recurrence rate was 12.5 %. Surgery by transpalatine approach should be the choice of treatment. Endoscopic resection should be only used for Stage I or Stage II disease.

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Section: Discussionmentioning

confidence: 99%