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A rational classification of angiofibromas of the post nasal space

Published online by Cambridge University Press:  29 June 2007

S. C. Mishra*
Affiliation:
Department of Otolaryngology and Radiotherapy, King George's Medical College, Lucknow, 226 003., India.
G. K. Shukla
Affiliation:
Department of Otolaryngology and Radiotherapy, King George's Medical College, Lucknow, 226 003., India.
Naresh Bhatia
Affiliation:
Department of Otolaryngology and Radiotherapy, King George's Medical College, Lucknow, 226 003., India.
M. C. Pant
Affiliation:
Department of Otolaryngology and Radiotherapy, King George's Medical College, Lucknow, 226 003., India.
*
Dr S. C. Mishra, C-427, Sector-B, Mahanagar, Lucknow 226 006, India.

Abstract

Angiofibromas of the post nasal space have the potential to extend in all directions along predetermined pathways with a definite mode and chronological pattern. In order to understand their clinical behaviour, methods of treatment and prognosis, a system of clinical staging based on conventional and tomographic observations has been found useful in this series of cases. The classification has been evolved according to the extent of the tumour involvement but also the age of onset, duration, size and area of encroachement including the surgical approach and consequent prognosis. Deficiencies in the earlier classifications are discussed.

Type
Main Articles
Copyright
Copyright © JLO (1984) Limited 1989

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References

Antonelli, A. R., Cappiello, J., Dilorenzo, D., Donago, C. A., Nicolai, P. and Oriandini, A. (1987). Diagnosis staging and treatment of juvenile nasopharyngeal angiofibroma. Laryngoscope, 97: 13191325.CrossRefGoogle ScholarPubMed
Bhatia, M. L. and Mishra, S. C. (1967). Lateral extensions of nasopharyngeal fibroma. Journal of Laryngology and Otology, 81: 99106.Google Scholar
Bhatia, M. L., Mishra, S. C. and Prakash, J. (1967). Intractanial extensions of juvenile angiofibroma nasopharynx. Journal of Laryngology and Otology, 81: 13951403.Google Scholar
Bremer, J. W., Neel, H. B. III, and De Santo, L. W. (1986) Angiofibroma, treatment trends—150 patients during 40 years. Laryngoscope, 96: 1321.CrossRefGoogle ScholarPubMed
Chandler, J. R., Moskowitz, L., Goulding, R. and Quencer, R. M. (1984). Nasopharygeal fibroma—staging and management. Annals of Otology, Rhinology and Laryngology, 93: 322329.Google Scholar
Gay, I., Lindan, J. E. and Gordon, R. (1983). Oronasal fistula—a possible complication of preoperative complication in the management of juvenile nasopharyngeal angiofibroma. Journal of Laryngology and Otology, 97: 651656.CrossRefGoogle ScholarPubMed
Harrison, D. F. N. (1976). Juvenile postnasal angiofibroma an evaluation. Clinical Otolaryngology, 1: 187197.CrossRefGoogle ScholarPubMed
Hiranandani, L. H. (1965). Nasopharyngeal fibroma. Revue de Laryngologie (Bordeaux), 9–10: 733746.Google Scholar
Jones, G. C., De Santo, L. W., Bremer, W. and Neel, B. (1986). Juvenile angiofibroma—behaviour and treatment of extensive and residual tumours. Archives of Otolaryngology, 112: 11911193.CrossRefGoogle Scholar
Maniglia, A. G. (1986). Indications of midfacial degloving—A 15 years experience. Archives of Otolaryngology, 112: 750752.CrossRefGoogle Scholar
Mishra, S. C. and Bhatia, M. L. (1964). The clinical study of nasopharyngeal fibroma. A thesis for Master of Surgery (Otolaryngology), Lucknow University.Google Scholar
Mishra, S. C. and Misra, R. N. (1974). Problems of recurrences in nasopharyngeal fibroma: Proceedings of X World Congress of Otolaryngology—Venice, 1973, edited by Arslan, M., Excerpta Medica, Amsterdam, 256257.Google Scholar
Mishra, S. C., Misra, R. N. and Wahal, K. M. (1981). Clinicopathological profile of recurrences in post nasal angiofibroma. Indian Journal of Otolaryngology, 33: 141143.CrossRefGoogle Scholar
Mishra, S. C. (1987). Surgery for nasopharyngeal fibroma, Personal Communication at the 6th Asia Oceania Congress of Otorhinolaryngological Societies,New Delhi, India.Google Scholar
Mishra, S. C., Shukla, G. K., Bhatia, , Naresh, and Pant, M. C. (1989). Radiological diagnosis of nasopharyngeal angiofibromas. Indian Journal of Otolaryngology (in press).Google Scholar
Patil, R. N., Agrawal, A. K., Prakesh, B. and Ghosh, P. (1982). Extranasopharyngeal extension of angiofibroma. Journal of Laryngology and Otology, 96: 10531064.CrossRefGoogle ScholarPubMed
Spector, G. J. (1988). Management of juvenile angiofibromata. Laryngoscope, 98: 10161026.Google Scholar
Stansbie, J. M. and Phelps, P. D. (1986) Involution of residual juvenile nasopharyngeal angiofibroma (A case report). Journal of Laryngology and Otology, 100: 599603.Google Scholar
Tandon, D. A., Bahadur, S., Kacker, S. K. and Goulatia, R. K. (1988). Nasopharyngeal angiofibroma—a nine years experience. Journal of Laryngology and Otology, 102: 805809.Google Scholar
Waldman, S. R., Levine, H. L., Astor, F., Wood, B. G., Weinstein, M. and Tucker, M. H. (1981). Surgical experience with nasopharyngeal fibroma. Archives of Otolaryngology, 107: 667682.Google Scholar
Ward, P. H., Thompson, R., Calcaterra, T. and Kadin, M. R. (1974). Juvenile angiofibroma: a more rational therapeutic approach based upon clinical and experimental evidence. Laryngoscope, 84: 21812194.Google Scholar