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CC BY 4.0 · Int Arch Otorhinolaryngol 2024; 28(03): e432-e439
DOI: 10.1055/s-0043-1777293
Original Research

Juvenile Nasopharyngeal Angiofibroma: A Series of 96 Surgical Cases

Alexandre Wady Debes Felippu
1   Instituto Felippu de Otorrinolaringologia, São Paulo, SP, Brazil
,
Erica Batista Fontes 
1   Instituto Felippu de Otorrinolaringologia, São Paulo, SP, Brazil
,
André Wady Debes Felippu 
1   Instituto Felippu de Otorrinolaringologia, São Paulo, SP, Brazil
,
Bruna Coelho Ellery
1   Instituto Felippu de Otorrinolaringologia, São Paulo, SP, Brazil
,
Ana Carolina Silveira de Oliveira
1   Instituto Felippu de Otorrinolaringologia, São Paulo, SP, Brazil
,
André Vicente Guimarães
2   Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, Brazil
,
Filippo Cascio
3   Department of Otorhinolaryngology, Papardo Hospital, Messina, Italy
,
Alexandre Felippu
1   Instituto Felippu de Otorrinolaringologia, São Paulo, SP, Brazil
› Author Affiliations Funding The authors declare that they have received no financial support from agencies in the public, private or non-profit sectors to conduct the present research.
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Abstract

Introduction Juvenile nasopharyngeal angiofibroma (JNA) is a benign vascularized tumor that affects almost exclusively male adolescents. Surgery is the treatment of choice for JNA.

Objectives The present study is a 42-year retrospective review of a series of JNA cases treated surgically without previous embolization.

Methods The present is a retrospective, descriptive study based on medical records of 96 patients with JNA who underwent microscopic or endoscopic excision without previous embolization from 1978 to 2020 in a single institution. The patients were categorized according to the Andrews et al. stage, and data were collected on age, gender, tumor staging, surgical approach, affected side, and outcome.

Results All patients were male, with an average age of 17 years. The predominant tumor stage consisted of type II, with 52.1%. A total of 33.3% of the patients were submitted to the microscopic technique and 66.7%, to the endonasal technique. The rate of intraoperative blood transfusion was of 17.7%.

Conclusion The present study reinforces that resection of JNA in various stages is viable without previous artery embolization.

Keywords

nasopharyngeal neoplasms - angiofibroma - surgery - intranasal surgery


Publication History

Received: 25 October 2022

Accepted: 15 October 2023

Article published online:
04 June 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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