Nasopharyngeal angiofibroma.
OBJECTIVE
To study the clinical profile of nasopharyngeal angiofibromas, various surgical approaches, and the outcome of surgery.


METHODS
The retrospective study was carried out in 110 consecutive cases of nasopharyngeal angiofibroma over a period of 25 years.


METHODS
A hospital-based study.


METHODS
In 65 patients, a transpalatal approach was used, and in 38 patients, a lateral rhinotomy approach was used. The tumour was removed by external ethmoidectomy in 2 cases and in by transnasal approach in 3 cases. A modification of the transpalatal approach was also designed.


METHODS
Patients were regularly followed up for any recurrence for 2 to 5 years.


RESULTS
Of 118 operated cases, in 33 patients, recurrence was observed. Four cases had to be operated three times and one case four times. All of the recurrences were observed within 2 years.


CONCLUSIONS
Angiofibroma, a disease of adolescent males, arises from either the lateral wall or the roof of the nasopharynx. Patients usually present at the late stage of the disease. Surgery is the treatment of choice. No single approach is applicable to all cases. However, most of the tumours are excisable by a lateral rhinotomy approach, with less chance of recurrence. The modified transpalatal approach provides excellent exposure. Recurrence occurs within 2 years.
Yadav
Samar Pal Singh
SP
Department of Otolaryngology, Post Graduate Institute of Medical Sciences, Rohtak, India.
Singh
Ishwar
I
Chanda
Rakesh
R
Sachdeva
Om Parkash
OP
D000293:Adolescent; D000328:Adult; D018322:Angiofibroma / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery*; D002648:Child; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009303:Nasopharyngeal Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery*; D009364:Neoplasm Recurrence, Local / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery*; D009367:Neoplasm Staging; D013517:Otorhinolaryngologic Surgical Procedures; D017063:Outcome Assessment, Health Care; D012189:Retrospective Studies; D013997:Time Factors; D014057:Tomography, X-Ray Computed