Juvenile Angiofibroma: Current Management Strategies

Ahmad Safadi; Alberto Schreiber; Dan M. Fliss; Piero Nicolai

doi:10.1055/s-0037-1615810

Journal of Neurological Surgery Part B: Skull Base, Table of Contents

J Neurol Surg B Skull Base 2018; 79(01): 021-030
DOI: 10.1055/s-0037-1615810

Review Article

Georg Thieme Verlag KG Stuttgart · New York

Juvenile Angiofibroma: Current Management Strategies

Authors

Ahmad Safadi

¹Department of Otorhinolaryngology – Head and Neck Surgery and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
Alberto Schreiber

²Department of Otorhinolaryngology – Head and Neck Surgery, Spedali Civili of Brescia, University of Brescia, Brescia, Italy
Dan M. Fliss

¹Department of Otorhinolaryngology – Head and Neck Surgery and Maxillofacial Surgery, Tel Aviv Sourasky Medical Center, Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel
Piero Nicolai

²Department of Otorhinolaryngology – Head and Neck Surgery, Spedali Civili of Brescia, University of Brescia, Brescia, Italy

Abstract

Juvenile angiofibroma (JA) is a benign, highly vascular tumor which is diagnosed on the basis of clinical and imaging features. It has a characteristic pattern of spread commonly involving the pterygopalatine fossa and pterygoid base. The mainstay of treatment is surgery, while radiotherapy is rarely used for the treatment of recurrent lesion. Endoscopic endonasal surgery is currently the treatment of choice for small to intermediate size JAs, and is feasible even for advanced lesions; however, this should only be practiced in well-experienced centers.

Keywords

juvenile angiofibroma - endoscopic surgery - surgical treatment of juvenile angiofibroma

Full Text

References

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