Bilateral, independent juvenile nasopharyngeal angiofibroma: case report
Juvenile nasopharyngeal angiofibroma is a benign, vascular tumour that primarily occurs in adolescent males. Despite its benign nature, aggressive growth patterns can cause potential life-threatening complications. Juvenile nasopharyngeal angiofibroma is normally unilateral, originating from the sph...
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| Veröffentlicht in: | Journal of laryngology and otology 2015-10, Vol.129 (10), p.1032-1035 |
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| creator | Mørkenborg, M-L Frendø, M Stavngaard, T Von Buchwald, C |
| description | Juvenile nasopharyngeal angiofibroma is a benign, vascular tumour that primarily occurs in adolescent males. Despite its benign nature, aggressive growth patterns can cause potential life-threatening complications. Juvenile nasopharyngeal angiofibroma is normally unilateral, originating from the sphenopalatine artery, but bilateral symptoms can occur if a large tumour extends to the contralateral side of the nasopharynx. This paper presents the first reported case of true bilateral extensive juvenile nasopharyngeal angiofibroma involving clinically challenging pre-surgical planning and surgical strategy.
A 21-year-old male presented with increasing bilateral nasal obstruction and discharge. Examination revealed tumours bilaterally and imaging demonstrated non-contiguous tumours. Pre-operative angiography showed strictly ipsilateral vascular supplies requiring bilateral embolisation. Radical removal performed as one-step, computer-assisted functional endoscopic sinus surgery was performed. The follow-up period was uncomplicated.
This case illustrates the importance of suspecting bilateral juvenile nasopharyngeal angiofibroma in patients presenting with bilateral symptoms. Our management, including successful pre-operative planning, enabled one-step total removal of both tumours and rapid patient recovery. |
| doi_str_mv | 10.1017/S0022215115001899 |
| format | Article |
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A 21-year-old male presented with increasing bilateral nasal obstruction and discharge. Examination revealed tumours bilaterally and imaging demonstrated non-contiguous tumours. Pre-operative angiography showed strictly ipsilateral vascular supplies requiring bilateral embolisation. Radical removal performed as one-step, computer-assisted functional endoscopic sinus surgery was performed. The follow-up period was uncomplicated.
This case illustrates the importance of suspecting bilateral juvenile nasopharyngeal angiofibroma in patients presenting with bilateral symptoms. Our management, including successful pre-operative planning, enabled one-step total removal of both tumours and rapid patient recovery.</description><identifier>ISSN: 0022-2151</identifier><identifier>EISSN: 1748-5460</identifier><identifier>DOI: 10.1017/S0022215115001899</identifier><identifier>PMID: 26314415</identifier><identifier>CODEN: JLOTAX</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Angiofibroma - complications ; Angiofibroma - therapy ; Biopsy ; Carotid arteries ; Case reports ; Clinical Records ; Embolization ; Embolization, Therapeutic - methods ; Endoscopy ; Endoscopy - methods ; Epistaxis ; Humans ; Local anesthesia ; Magnetic resonance imaging ; Male ; Males ; Medical imaging ; Nasal Obstruction - etiology ; Nasal Obstruction - therapy ; Nasopharyngeal Neoplasms - complications ; Nasopharyngeal Neoplasms - therapy ; Nasopharynx - surgery ; Nose ; Polyvinyl alcohol ; Sinuses ; Tumors ; Veins & arteries ; Young Adult</subject><ispartof>Journal of laryngology and otology, 2015-10, Vol.129 (10), p.1032-1035</ispartof><rights>Copyright © JLO (1984) Limited 2015</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c443t-4491e5705baa322f8dc394fbabf404170b7990e2c96905677e1b45d1013021e33</citedby><cites>FETCH-LOGICAL-c443t-4491e5705baa322f8dc394fbabf404170b7990e2c96905677e1b45d1013021e33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.cambridge.org/core/product/identifier/S0022215115001899/type/journal_article$$EHTML$$P50$$Gcambridge$$H</linktohtml><link.rule.ids>164,314,776,780,27901,27902,55603</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26314415$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mørkenborg, M-L</creatorcontrib><creatorcontrib>Frendø, M</creatorcontrib><creatorcontrib>Stavngaard, T</creatorcontrib><creatorcontrib>Von Buchwald, C</creatorcontrib><title>Bilateral, independent juvenile nasopharyngeal angiofibroma: case report</title><title>Journal of laryngology and otology</title><addtitle>J. Laryngol. Otol</addtitle><description>Juvenile nasopharyngeal angiofibroma is a benign, vascular tumour that primarily occurs in adolescent males. Despite its benign nature, aggressive growth patterns can cause potential life-threatening complications. Juvenile nasopharyngeal angiofibroma is normally unilateral, originating from the sphenopalatine artery, but bilateral symptoms can occur if a large tumour extends to the contralateral side of the nasopharynx. This paper presents the first reported case of true bilateral extensive juvenile nasopharyngeal angiofibroma involving clinically challenging pre-surgical planning and surgical strategy.
A 21-year-old male presented with increasing bilateral nasal obstruction and discharge. Examination revealed tumours bilaterally and imaging demonstrated non-contiguous tumours. Pre-operative angiography showed strictly ipsilateral vascular supplies requiring bilateral embolisation. Radical removal performed as one-step, computer-assisted functional endoscopic sinus surgery was performed. The follow-up period was uncomplicated.
This case illustrates the importance of suspecting bilateral juvenile nasopharyngeal angiofibroma in patients presenting with bilateral symptoms. Our management, including successful pre-operative planning, enabled one-step total removal of both tumours and rapid patient recovery.</description><subject>Angiofibroma - complications</subject><subject>Angiofibroma - therapy</subject><subject>Biopsy</subject><subject>Carotid arteries</subject><subject>Case reports</subject><subject>Clinical Records</subject><subject>Embolization</subject><subject>Embolization, Therapeutic - methods</subject><subject>Endoscopy</subject><subject>Endoscopy - methods</subject><subject>Epistaxis</subject><subject>Humans</subject><subject>Local anesthesia</subject><subject>Magnetic resonance imaging</subject><subject>Male</subject><subject>Males</subject><subject>Medical imaging</subject><subject>Nasal Obstruction - etiology</subject><subject>Nasal Obstruction - therapy</subject><subject>Nasopharyngeal Neoplasms - complications</subject><subject>Nasopharyngeal Neoplasms - therapy</subject><subject>Nasopharynx - surgery</subject><subject>Nose</subject><subject>Polyvinyl alcohol</subject><subject>Sinuses</subject><subject>Tumors</subject><subject>Veins & arteries</subject><subject>Young Adult</subject><issn>0022-2151</issn><issn>1748-5460</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kE1LxDAQhoMo7rr6A7xIwYsHq5l8NI03XdQVFjyo55K207VLv0xawX9vyq4iipfMYZ55MvMScgz0AiioyydKGWMgASSlEGu9Q6agRBxKEdFdMh3b4difkAPn1tRDirJ9MmERByFATsnipqxMj9ZU50HZ5Nihf5o-WA_v2JQVBo1xbfdq7EezQlMFplmVbVGmtq3NVZAZh4HFrrX9IdkrTOXwaFtn5OXu9nm-CJeP9w_z62WYCcH7UAgNKBWVqTGcsSLOM65FkZq0EFT49VKlNUWW6UhTGSmFkAqZ-3M5ZYCcz8jZxtvZ9m1A1yd16TKsKtNgO7gEFAMuhXd79PQXum4H2_jtRoqqiMfxKIQNldnWOYtF0tmy9gcnQJMx5uRPzH7mZGse0hrz74mvXD3At1JTp7bMV_jj73-1n0gDhNM</recordid><startdate>20151001</startdate><enddate>20151001</enddate><creator>Mørkenborg, M-L</creator><creator>Frendø, M</creator><creator>Stavngaard, T</creator><creator>Von Buchwald, C</creator><general>Cambridge University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>20151001</creationdate><title>Bilateral, independent juvenile nasopharyngeal angiofibroma: case report</title><author>Mørkenborg, M-L ; 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Laryngol. Otol</addtitle><date>2015-10-01</date><risdate>2015</risdate><volume>129</volume><issue>10</issue><spage>1032</spage><epage>1035</epage><pages>1032-1035</pages><issn>0022-2151</issn><eissn>1748-5460</eissn><coden>JLOTAX</coden><abstract>Juvenile nasopharyngeal angiofibroma is a benign, vascular tumour that primarily occurs in adolescent males. Despite its benign nature, aggressive growth patterns can cause potential life-threatening complications. Juvenile nasopharyngeal angiofibroma is normally unilateral, originating from the sphenopalatine artery, but bilateral symptoms can occur if a large tumour extends to the contralateral side of the nasopharynx. This paper presents the first reported case of true bilateral extensive juvenile nasopharyngeal angiofibroma involving clinically challenging pre-surgical planning and surgical strategy.
A 21-year-old male presented with increasing bilateral nasal obstruction and discharge. Examination revealed tumours bilaterally and imaging demonstrated non-contiguous tumours. Pre-operative angiography showed strictly ipsilateral vascular supplies requiring bilateral embolisation. Radical removal performed as one-step, computer-assisted functional endoscopic sinus surgery was performed. The follow-up period was uncomplicated.
This case illustrates the importance of suspecting bilateral juvenile nasopharyngeal angiofibroma in patients presenting with bilateral symptoms. Our management, including successful pre-operative planning, enabled one-step total removal of both tumours and rapid patient recovery.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>26314415</pmid><doi>10.1017/S0022215115001899</doi><tpages>4</tpages></addata></record> |
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| subjects | Angiofibroma - complications Angiofibroma - therapy Biopsy Carotid arteries Case reports Clinical Records Embolization Embolization, Therapeutic - methods Endoscopy Endoscopy - methods Epistaxis Humans Local anesthesia Magnetic resonance imaging Male Males Medical imaging Nasal Obstruction - etiology Nasal Obstruction - therapy Nasopharyngeal Neoplasms - complications Nasopharyngeal Neoplasms - therapy Nasopharynx - surgery Nose Polyvinyl alcohol Sinuses Tumors Veins & arteries Young Adult |
| title | Bilateral, independent juvenile nasopharyngeal angiofibroma: case report |
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