Juvenile nasopharyngeal angiofibroma: A retrospective study of 27 cases in the ent Department of ipo‐Porto

Abstract

Juvenile nasopharyngeal angiofibroma (JNA) is a benign, rare and highly vascular tumour, occurring in adolescent males.

Clinical records of 27 patients who underwent surgical resection, performed between 1989 and 2017, were reviewed.

Three patients were submitted to paralatero‐nasal rhinotomy, 23 patients (85%), to the sublabial transnasomaxillary approach (Rouge Denker approach), complemented in 19 (70.0%) with transpalatine approach (Wilson technique). Endoscopic resection was performed only at one patient stage IB.

There were no cases of death, major significant complications or significant morbidity. Persistence rate was 18.5% and recurrence rate 14.8%.

Patients with tumour extension to infratemporal fossa and no massive cavernous sinus invasion may be treated effectively without previous embolization and facial scars, with sublabial transnasomaxillary approach (Rouge Denker approach), complemented with transpalatine approach (Wilson technique).

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