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KMID : 0361019990420010114
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Korean Journal of Otolaryngology - Head and Neck Surgery
1999 Volume.42 No. 1 p.114 ~ p.117
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A Case of Juvenile Nasopharyngeal Angiofibroma -Transnasal Endoscopic Surgery-
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Abstract
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Juvenile nasopharyngeal angiofibroma (JNA) is a highly vascular and locally invasive tumor that occurs almost exclusively in adolescent boys. JNA accounts for 0.05-0.5% of all head and neck tumors. Pre-operative embolization is useful for
reducing
intraoperative blood loss and the risk of incomplete excision of the tumor. A case of angiofibroma limited to the left posterior and superior nasal cavity and nasopharynx was excised transnasally under endoscopic control after pre-operative
embolization
with Gelfoam®. The tumor was completely removed without complications, and there was no evidence of any residual tumor or recurrence observed during one year of endoscopic follow-up. It can be suggested that for the limited lesions
of
angiofibroma, the option of a transnasal endoscopic approach could be cautiously applied by experienced surgeons.
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