title: Fully endoscopic resection of juvenile nasopharyngeal angiofibroma - own experience and clinical outcomes.
abstract: OBJECTIVE
  The treatment of choice in juvenile nasopharyngeal angiofibroma (JNA) is surgery - nowadays endoscopic techniques. The aim of the study was to present the results of endoscopic treatment in patients diagnosed with juvenile angiofibroma.
  
  
  METHODS
  In this retrospective case series, 10 patients with a diagnosis of JNA treated at the Department of Otolaryngology of the Medical University in Poznań from 2006 to June 2013 were included. The age of patients were between 11 and 19 years old (14.6 on average). In 9 out of 10 patients the treatment was preceded by embolization. The surgery used the endoscopic approach through one nostril and the four-handed technique.
  
  
  RESULTS
  Total resection was possible in all cases. Blood loss ranged from 100 to 250 ml. Post-operative hospitalization lasted from 3 to 5 days (3.3 days on average). Recurrence was reported in one patient. The observation lasted from six months to seven years (3.55 on average).
  
  
  CONCLUSIONS
  Endoscopic resection of juvenile angiofibroma is safe for the patient. Moreover, if the evaluation of the tumour size and staging is correct, the ability of total removal of the tumour is very high. It is also connected with small blood loss, short hospital stay and good cosmetic effects.
authors.affiliation: ENT Department, Medical University, Poznań, Poland. Electronic address: tkopec@ump.edu.pl.
authors.forename: Tomasz
authors.initials: T
authors.lastname: Kopeć
authors.affiliation: ENT Department, Medical University, Poznań, Poland.
authors.forename: Łukasz
authors.initials: Ł
authors.lastname: Borucki
authors.affiliation: ENT Department, Medical University, Poznań, Poland.
authors.forename: Witold
authors.initials: W
authors.lastname: Szyfter
mesh_terms: D000293:Adolescent; D018322:Angiofibroma / Q000601:surgery*; D016063:Blood Loss, Surgical / Q000706:statistics & numerical data; D002648:Child; D004621:Embolization, Therapeutic; D004724:Endoscopy / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D009303:Nasopharyngeal Neoplasms / Q000601:surgery*; D012008:Recurrence; D012189:Retrospective Studies; D055815:Young Adult
keywords: Endoscopic approach; Juvenile nasopharyngeal angiofibroma