Skip to main content Accessibility help
×
Home

Nasopharyngeal angiofibroma: (A nine-year experience)

  • D. A. Tandon (a1), S. Bahadur (a2), S. K. Kacker (a3) and R. K. Goulatia (a4)

Abstract

In a nine-year period 50 nasopharyngeal angiofibromas, of whom 13 had recurrent tumour, were treated surgically at the All India Institute of Medical Sciences, New Delhi. A new staging system according to the regions involved was used; 31 patients in whom the tumour was limited to the nasopharynx (Stage I) and those with superior spread into the ethmoid or sphenoid sinuses (Stage IIA) had their tumours removed by a transpalatal route, alone or in combination with other approaches. Tumours with lateral extensions into the pterygopalatine or infratemporal fossae or the cheek (Stage IIB), and those with simultaneous superior and lateral spread (Stage HI) underwent a transmaxillary excision (19 cases). In two of the three cases with intracranial extension (Stage IV), the tumour was removed successfully from below. There was no mortality. The usefulness of the transmaxillary approach, especially in recurrent cases, is emphasized. No adjuvant modalities were employed in this series and blood loss was acceptable.

Copyright

Corresponding author

Department of E.N.T., All India Institute of Medical Sciences, Ansara Nagar, New Delhi 110 029, India.

References

Hide All
Apostol, J. V. and Frazell, E. L. (1965) Juvenile nasopharyngeal angiofibroma: a clinical study. Cancer, 18: 869878.
Biller, H. F. (1978) Juvenile nasopharyngeal angiofibroma. Annals of Otology, Rhinology and Laryngology, 87: 630632.
Boles, R. and Dedo, H. (1976) Nasopharyngeal angiofibroma. Laryngoscope, 86: 364370.
Bremer, J.W., Neel, H. B., Desanto, L. W. and Jones, J. C. (1986) Angiofibroma: treatment trends in 150 patients during 40 years. Laryngoscope, 96: 13211329.
Briant, T. D. R., Fitzpatrick, P. J. and Book, H. (1970) The radiological treatment of juvenile nasopharyngeal angiofibromas. Annals of Otology, Rhinology and Laryngology, 79: 11081113.
Briant, T. D. R., Fitzpatrick, P. J. and Berman, J. (1978) Nasopharyngeal angiofibroma: A 20 year study. Laryngoscope, 88: 12471251.
Brunner, (1942) Quoted by Girgis and Fahmy, 1973.
Chandler, J. R., Goulding, R., Moskowitz, L. and Quencer, R. M. (1984) Nasopharyngeal angiofibromas: staging and management. Annals of Otology, Rhinology and Laryngology, 93: 322329.
Cummings, B. J. (1983) The treatment of juvenile nasopharyngeal angiofibroma: the case for radiation therapy. Journal of Laryngology and Otology, Supplement 8: 101102.
Fitzpatrick, P. J., Briant, T. D. R., and Berman, J. M. (1980) The nasopharyngeal angiofibroma. Archives of Otolaryngology—Head and Neck Surgery, 106: 234236.
Fisch, U. (1983) Infratemporal fossa approach for epipharyngeal tumours. Laryngoscope, 93: 3644.
Gill, G., Rice, D. H., Ritter, F. N., Kindt, G. and Russo, H. R. (1976) Intracranial and extracranial nasopharyngeal angiofibroma. Archives of Otolaryngology, 102: 371373.
Girgis, I. H. and Fahmy, S. A. (1973) Nasopharyngeal fibroma:Its histopathological nature. Journal of Laryngology and Otology, 87: 11071123.
Hamilton, W. J. and Mossman, H. W. (1972) Human Embryology: prenatal development of form and function, fourth edition. Baltimore, Williams and Wilkins.
Harma, R. A. (1958) Nasopharyngeal angiofibroma. Acta Otolaryngologica, Supplement 146.
Hughes, (1941) Quoted by Girgis and Fahmy, 1973.
Jones, G. C., DeSanto, I. W., Bremer, J. W. and Neel, H. B. (1986) Juvenile angiofibromas: Behaviour and treatment of extensive and residual tumours. Archives of Otolaryngology—Head and Neck Surgery, 112: 11911193.
Martin, H., Ehrlich, H. E. and Abels, J. C. (1948) Juvenile nasopharyngeal angiofibroma. Annals of Surgery, 127: 513536.
Mokhtar, M., Badrawy, R. and Osman, M. (1972) The juvenile angiofibroma of the nasopharynx. Journal of Egyptian Medical Association, 55: 692703.
Neel, H. B., Whicker, J. H., Devine, K. D. and Weiland, L. H. (1973) Juvenile angiofibroma. American Journal of Surgery, 126: 547556.
Osborn, D. A. (1959) The so-called juvenile angiofibroma of the nasopharynx. Journal of Laryngology and Otology, 73:195215.
Patil, R. N., Agarwal, A. K., Prakash, B. and Ghosh, P. (1982) Extranasopharyngeal extensions of angiofibroma. Journal of Laryngology and Otology, 96: 10531064.
Pressman, J. J. (1962) Nasopharyngeal angiofibroma. Archives of Otolaryngology 76: 167173.
Ringertt, (1939) Quoted by Girgis and Fahmy, 1973.
Roberson, G. H., Price, A. C., Davis, J. M. and Gulati, A. (1979) Therapeutic embolization of juvenile angiofibroma. American Journal of Radiology, 133: 657663.
Sardana, D. S. (1965) Nasopharyngeal fibroma: Extension into the cheek. Archives of Otolaryngology, 81: 584588.
Sessions, R. B., Bryan, R. N., Naclerio, R. M. and Afford, B. R. (1981) Radiographic staging of Juvenile angiofibroma. Head and Neck Surgery 3: 279283.
Waldman, S. R., Levine, H. L., Astor, R, Wood, B. G., Weinstein, M. and Tucker, H. M. (1981) Surgical experience with nasopharyngeal angiofibroma. Archives of Otolaryngology, 107: 677682.
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.
Weinstein, M. A.Levine, H. M., Duchesnau, P. M. and Tucker, H. M. (1978) Diagnosis of juvenile angiofibroma by computed tomography. Radiology, 126: 703705.
Witt, R., Shah, J. P. and Sternberg, S. S. (1983) Juvenile nasopharyngeal angiofibroma: A 30 year clinical review. American Journal of Surgery, 146: 521525.

Related content

Powered by UNSILO

Nasopharyngeal angiofibroma: (A nine-year experience)

  • D. A. Tandon (a1), S. Bahadur (a2), S. K. Kacker (a3) and R. K. Goulatia (a4)

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed.