The changing surgical management of juvenile nasopharyngeal angiofibroma
✍ Scribed by Suvi Renkonen; Jaana Hagström; Jyrki Vuola; Mika Niemelä; Matti Porras; Sanna-Maria Kivivuori; Ilmo Leivo; Antti A. Mäkitie
- Publisher
- Springer-Verlag
- Year
- 2010
- Tongue
- English
- Weight
- 455 KB
- Volume
- 268
- Category
- Article
- ISSN
- 0302-9530
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## Abstract Juvenile nasopharyngeal angiofibroma (JNA) is a histologically benign, locally invasive tumor of the nasopharynx that is found primarily in the pubescent male. While most authors recommend surgical excision for smaller, localized extracranial tumors, opinion varies on the management of
The usefulness of embolization of one or several feeding arteries before surgical removal of nasopharyngeal angiofibroma has been proven. However, there are two questions which remain: (a) At what point should the embolization stop? (B) What is the optimal delay between embolization and operation? T
## Abstract The potentially fatal complications associated with surgery and radiation therapy in the management of juvenile nasopharyngeal angiofibroma (JNA) are analyzed. Quantitative risk factors established from review of the literature suggest a risk of potentially fatal complications of 1 in 3