Juvenile nasopharyngeal angiofibroma
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| Surgery Name | Cost | Room | Hospitalization |
|---|---|---|---|
| Juvenile nasopharyngeal angiofibroma | $2746 | Single | Patient - 3 days stay in a single room. |
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What is Angiofibroma?
Angiofibroma is a benign (noncancerous) nasal cavity tumor that almost exclusively affects adolescent boys. It also may be referred to as juvenile nasopharyngeal angiofibroma (JNA). The age range for this disease is 7 to 19 years old, with most people being diagnosed between 10 and 19 years old. Juvenile nasopharyngeal angiofibroma is the most common benign tumor of the nasopharynx, but has a relatively low incidence. It accounts for only 0.5 percent of all head and neck tumors.
Symptoms
The most common symptoms of angiofibroma include:
- ✓Nasal obstruction
- ✓Nose bleeding (epistaxis)
- ✓Runny nose (rhinorrhea)
Some people also may develop facial deformities or abnormalities, including:
- ✓Cheek swelling
- ✓Drooping eyelids
- ✓Bulging eyes
- ✓Cranial nerve palsies
Diagnosis
- ✓ Physical exam - A pale, smooth mass may be visible inside the nasopharynx.
- ✓An MRI or CT scan of the head and facial bones confirms the diagnosis of angiofibroma and shows the extension of the tumor.
Risks of Angiofibroma
- ✓Hearing loss may result from obstruction of the Eustachian tube.
- ✓Double vision or blindness may result from pressure on the optic nerves and chiasm if there is erosion into the cranial cavity.
- ✓Rarely, people with juvenile nasopharyngeal angiofibroma may suffer anosmia — the loss of the sense of smell.
Treatment
The most common treatment for angiofibroma is surgery. Angiofibromas may be approached directly using the Endoscopic Endonasal Approach (EEA). This state-of-the-art, minimally invasive approach allows surgeons to access the tumor through the natural corridor of the nose, without making an open incision. Surgeons then remove the angiofibroma through the nose and nasal cavities.
EEA offers the benefits of no incisions to heal, no disfigurement, and a faster recovery time. If you need complementary treatments, such as radiation, those therapies can begin soon after EEA surgery. Prior to surgery, an angiogram may be performed. This imaging test uses x-rays to view blood vessels that have been injected with a contrasting dye, to allow for embolization of the tumor. Embolization involves cutting off the blood supply to the tumor. It significantly reduces blood loss during surgery and tumor removal.
● Radiation therapy
Radiation therapy may be used for people with angiofibroma tumors that have extended into the cranial cavity, can't be reached safely by surgery, or have returned after previous treatment.
● Chemotherapy
Hormonal flutamide, which blocks testosterone receptors, has been shown to reduce tumor size effectively. The use of this medication is restricted to those enrolled in clinical trials.
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Frequently Asked Questions
They are a cosmetic nuisance for some patients, but are not dangerous and cannot turn into skin cancer. Angiofibromas can be sa
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