title: Juvenile Nasopharyngeal Angiofibroma: A Rise in Incidence.
abstract: Juvenile nasopharyngeal angiofibroma is a very rare, highly vascular, uncapsulated and locally invasive tumor. Recently a changing trend has been seen in its epidemiology, pathogenesis, diagnosis, medical management, pre-operative care, surgical management and post-operative care including radiotherapy. Study the changing trend basically in the north-eastern region of south-east Asia and its prospects. Retrospective study of patients presenting with JNA between the study period of 6 months (October 2014-March 2015) in the, Department of Otolaryngology and Head and Neck Surgery, Assam Medical College, Dibrugarh, Assam, India. Incidence in comparison to previous studies has increased. Eight patients were treated in the study period. Different approaches were used. Mean age of presentation was 18 years and more than 75 % of them were either Stage III or Stage IV. Different approaches like transpalatine, transpalatine along with transnasal, lateral rhinotomy and endoscopic surgery were used. The recurrence rate was 12.5 %. Surgery by transpalatine approach should be the choice of treatment. Endoscopic resection should be only used for Stage I or Stage II disease.
authors.affiliation: Department of Otolaryngology and Head and Neck Surgery, Assam Medical College, Dibrugarh, Assam India.
authors.forename: Pradip Kumar
authors.initials: PK
authors.lastname: Tiwari
authors.affiliation: Department of Otolaryngology and Head and Neck Surgery, Assam Medical College, Dibrugarh, Assam India.
authors.forename: Pinpo
authors.initials: P
authors.lastname: Teron
authors.affiliation: Department of Otolaryngology and Head and Neck Surgery, Assam Medical College, Dibrugarh, Assam India.
authors.forename: Nabajyoti
authors.initials: N
authors.lastname: Saikia
authors.affiliation: Department of Otolaryngology and Head and Neck Surgery, Assam Medical College, Dibrugarh, Assam India.
authors.forename: H P
authors.initials: HP
authors.lastname: Saikia
authors.affiliation: Department of Otolaryngology and Head and Neck Surgery, Assam Medical College, Dibrugarh, Assam India.
authors.forename: U T
authors.initials: UT
authors.lastname: Bhuyan
authors.affiliation: Department of Otolaryngology and Head and Neck Surgery, Assam Medical College, Dibrugarh, Assam India.
authors.forename: Debajit
authors.initials: D
authors.lastname: Das
keywords: Anaesthetic management in juvenile nasopharyngeal angiofibroma; Current trend and management; Incidence; Juvenile nasopharyngeal angiofibroma