Endoscopic excision of juvenile nasopharyngeal angiofibroma : A case series

Objectives: To present the outcome of excision of juvenile nasopharyngeal angiofibroma (JNA)-through endoscopic approach. Method: Retrospective case series review of six cases of JNA patients, encountered between 2013 and 2015. All patients underwent endoscopic excision, preceded by embolisation. Re...

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Main Authors: Lim, L. Y., Mohamad, Irfan, Tang, I. P.
Format: Article
Language:English
Published: Egyptian Society of Ear Nose Throat and Allied Sciences 2017
Subjects:
Online Access:http://ir.unimas.my/id/eprint/15332/
http://ir.unimas.my/id/eprint/15332/2/Endoscopic%20excision%20-%20Copy.pdf
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author Lim, L. Y.
Mohamad, Irfan
Tang, I. P.
author_facet Lim, L. Y.
Mohamad, Irfan
Tang, I. P.
author_sort Lim, L. Y.
building UNIMAS Institutional Repository
collection Online Access
description Objectives: To present the outcome of excision of juvenile nasopharyngeal angiofibroma (JNA)-through endoscopic approach. Method: Retrospective case series review of six cases of JNA patients, encountered between 2013 and 2015. All patients underwent endoscopic excision, preceded by embolisation. Results: All patients were male, comprised of Chinese, Malay and Bidayuh ethnics, presenting with typical complaints of progressive unilateral nasal blockage, spontaneous painless epistaxis hyposmia and sleep disturbance. The patients' presentation comprised of all four stages based on Fisch classification, with one recurrence case. Maxillary artery was the main blood supply to the lesion. Surgical approach applied was endoscopic four-handed technique of excision. All patients were discharged well with no major complications, nor cases of recurrence. Conclusion: Endoscopic approach is possible for varies stages of JNA. Preoperative angiographic embolisation has minimised the blood loss intraoperatively. The endoscopic method has reduced the post-operative morbidity
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spelling unimas-153322022-05-30T06:40:28Z http://ir.unimas.my/id/eprint/15332/ Endoscopic excision of juvenile nasopharyngeal angiofibroma : A case series Lim, L. Y. Mohamad, Irfan Tang, I. P. RF Otorhinolaryngology Objectives: To present the outcome of excision of juvenile nasopharyngeal angiofibroma (JNA)-through endoscopic approach. Method: Retrospective case series review of six cases of JNA patients, encountered between 2013 and 2015. All patients underwent endoscopic excision, preceded by embolisation. Results: All patients were male, comprised of Chinese, Malay and Bidayuh ethnics, presenting with typical complaints of progressive unilateral nasal blockage, spontaneous painless epistaxis hyposmia and sleep disturbance. The patients' presentation comprised of all four stages based on Fisch classification, with one recurrence case. Maxillary artery was the main blood supply to the lesion. Surgical approach applied was endoscopic four-handed technique of excision. All patients were discharged well with no major complications, nor cases of recurrence. Conclusion: Endoscopic approach is possible for varies stages of JNA. Preoperative angiographic embolisation has minimised the blood loss intraoperatively. The endoscopic method has reduced the post-operative morbidity Egyptian Society of Ear Nose Throat and Allied Sciences 2017-11-27 Article PeerReviewed text en http://ir.unimas.my/id/eprint/15332/2/Endoscopic%20excision%20-%20Copy.pdf Lim, L. Y. and Mohamad, Irfan and Tang, I. P. (2017) Endoscopic excision of juvenile nasopharyngeal angiofibroma : A case series. Egyptian Journal of Ear, Nose, Throat and Allied Sciences, 18. pp. 173-176. ISSN 2090-0740 https://www.sciencedirect.com/science/article/pii/S2090074016300810 DOI: 10.1016/j.ejenta.2016.12.007
spellingShingle RF Otorhinolaryngology
Lim, L. Y.
Mohamad, Irfan
Tang, I. P.
Endoscopic excision of juvenile nasopharyngeal angiofibroma : A case series
title Endoscopic excision of juvenile nasopharyngeal angiofibroma : A case series
title_full Endoscopic excision of juvenile nasopharyngeal angiofibroma : A case series
title_fullStr Endoscopic excision of juvenile nasopharyngeal angiofibroma : A case series
title_full_unstemmed Endoscopic excision of juvenile nasopharyngeal angiofibroma : A case series
title_short Endoscopic excision of juvenile nasopharyngeal angiofibroma : A case series
title_sort endoscopic excision of juvenile nasopharyngeal angiofibroma : a case series
topic RF Otorhinolaryngology
url http://ir.unimas.my/id/eprint/15332/
http://ir.unimas.my/id/eprint/15332/
http://ir.unimas.my/id/eprint/15332/
http://ir.unimas.my/id/eprint/15332/2/Endoscopic%20excision%20-%20Copy.pdf