title: Comparison of two approaches to the surgical management of juvenile nasopharyngeal angiofibroma stages I and II.
abstract: OBJECTIVE
  Our study was designed to compare two surgical approaches that are currently employed in the treatment of nasopharyngeal angiofibroma stages I and II.
  
  
  METHODS
  Retrospective chart review to compare outcomes in 11 patients who underwent endoscopic resection with outcomes of transpalatal excision in 13 patients with juvenile nasopharyngeal angiofibroma (JNA) at our department between 1992 and 2008.
  
  
  METHODS
  Academic otorhinolaryngologic referral centre.
  
  
  METHODS
  Twenty-four patients were divided into two groups according to the surgical technique used. The transpalatal approach was followed for 13 patients, whereas the transnasal endoscopic approach was adhered to for 11. The outcome variables of intraoperative blood loss, length of hospital stay, complications, and rate of recurrence were analyzed.
  
  
  RESULTS
  Compared to the transpalatal surgery group, the transnasal endoscopic group had less intraoperative blood loss (375 ± 27 mL vs 635 ± 41 mL), the mean duration of surgery was significantly shorter (115.7 ± 7.6 minutes vs 141.5 ± 9.8 minutes), and there was a lower occurrence of complications (1 patient vs 6 patients) and a shorter length of hospital stay (4 ± 1.0 days vs 6 ± 1.5 days), but there was no significant difference in the rate of recurrence.
  
  
  CONCLUSIONS
  In JNA stages I and II, the transnasal endoscopic approach is clearly a good alternative to the transpalatal approach.
authors.affiliation: Department of Otolaryngology, The First Affiliated Hospital, College of Medicine, Zhe Jiang University, Hang Zhou, PR China. huxl324@163.com
authors.forename: Qin Ying
authors.initials: QY
authors.lastname: Wang
authors.forename: Hai Hong
authors.initials: HH
authors.lastname: Chen
authors.forename: Yu Yu
authors.initials: YY
authors.lastname: Lu
mesh_terms: D000293:Adolescent; D000328:Adult; D018322:Angiofibroma / Q000473:pathology / Q000601:surgery*; D002648:Child; D004724:Endoscopy / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009303:Nasopharyngeal Neoplasms / Q000473:pathology / Q000601:surgery*; D009367:Neoplasm Staging; D009666:Nose; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods*; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult