Management of Juvenile Nasopharyngeal Angiofibroma – A Study of 20 Cases.
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Abstract
A 5 years retrospective study of 20 patients with nasopharyngeal angiofibroma is presented. All the patients were males with a men age of 16 years. Many of patients (40%) were Afghan Refugees and the commonest complains were recurrent episodes of epistaxis and unilateral nasal obstruction. Diagnosis is confirmed by radiological investigations supplemented with hormonal assay in 8 selected patients Pre=operative measures to reduce intra-operative blood loss consisted of hormonal therapy in 3 patients (15%) and unilateral external carotid artery ligation in anther 5 (25%) patients. 4 -5 pints blood on the average was transfused to each patient during operation. The primary mode of treatment in all 20 (100%) cases was surgical via transpalatine route. No serious morbidity and mortality was observed. Postoperative radiotherapy was provided to 4 patients. At regular follow up the recurrence rate was found to be 38.88%
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