Massive juvenile nasopharyngeal angiofibroma: ode to the open surgical approach

Abstract

The management of juvenile nasopharyngeal angiofibroma has undergone a significant evolution, with more surgeons moving towards the minimal invasive endoscopic approaches. Although considered the standard of care by most, an endoscopic approach may not be sufficient for extensive tumours, as exemplified by the current case of a young man presenting with the largest juvenile nasopharyngeal angiofibroma described in English literature until the present that was eventually excised via an anterior external approach.

MRI features of sinonasal tract angiofibroma/juvenile nasopharyngeal angiofibroma: Case series and systematic review

“…Finally, 33 articles with 41 cases describing 44 lesions met the selection criteria for the systematic review (Figure 1). 10,26–57 With 13 additional cases from our institution (Table 1), the final study cohort comprised 54 cases with 57 lesions associated with STAs.…”

Rare presentation of angiomatosis in the paranasal sinuses mimicking juvenile nasopharyngeal angiofibroma in a 16 year old male

“…Surgical treatment for JNAs and angiomatosis are similar with respect to complete endoscopic surgical resection. Nonsurgical treatment of JNAs include tumor irradiation for non-surgical candidates or those with incomplete surgical resection [25] . Published nonsurgical treatment of angiomatosis include radiotherapy or interferon alpha 2a [1] .…”

Multidiscipline management of giant reccurent nasopharyngeal angiofibroma which extends to paranasal sinuses, orbita, and intracranial in adult

“…Treatment options for NA are surgical, either open or endoscopic surgery and non-surgical including hormone therapy, radiotherapy and chemotherapy in cases that extend to the orbit and intracranial. In order to avoid tumour residues, especially those that extend to the infratemporal, parapharyngeal space, open surgery is required [10] . In our case, the complexities were because the tumour had massive anterior superior and lateral extension so that we decided to perform join open surgery and choosing medial maxillectomy surgery with an extended Killian right lateral rhinotomy approach.…”