Mirian Cabral Moreira de Castro, Camila Braz Rodrigues da Silva, Tiago Fraga Vieira, Lilia Gama Pinho* and Mariana Moreira de Castro Denaro

Otolaryngology Department, Madre Teresa Hospital, and Santa Casa de Belo horizonte, Minas Gerais, Brazil

*Corresponding Author: Lilia Gama Pinho, Otolaryngology Department, Madre Teresa Hospital, and Santa Casa de Belo horizonte, Minas Gerais, Brazil.

Received: January 29, 2022; Published: February 25, 2022

Abstract

Juvenile nasopharyngeal angiofibroma (JNA) is a rare, benign, vascular neoplasm. Unilateral nasal obstruction, epistaxis, and lobulated mass extending into the nasopharynx are the most common symptoms. The diagnosis is based on clinical and imaging features and should be suspected in male adolescents presenting this triad. Treatment and surgical approaches are challenging, and lack of optimum management protocols still causes ongoing debate. In this review, I discuss the available surgical and clinical treatments for every tumor stage and focus on the techniques for optimal tumor resection. I also describe my surgical routine step by step and highlight tips and pitfalls based on thirty years of extensive study and practice which together may contribute to improved JNA management.

Keywords: Angiofibroma; Skull Base; Nasopharyngeal Neoplasms; Embolization; Therapeutic

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Citation

Citation: Lilia Gama Pinho ., et al. “Juvenile Nasopharyngeal Angiofibroma: Key Points for Global Approach and Management.Acta Scientific Otolaryngology 4.3 (2022): 17-23.

Copyright

Copyright: © 2022 Lilia Gama Pinho ., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.