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Nasopharyngeal Angiofibroma: Paradigm Shift in Management

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Indian Journal of Otolaryngology and Head & Neck Surgery Aims and scope Submit manuscript

Abstract

To report on a series of patients of nasopharyngeal angiofibroma of varied ages with different stages and management algorithm which reduced morbidity associated with this tumour. Retrospective. We report a series of ten patients who presented to a tertiary care institution and were diagnosed to have NA from 2012 to 2014. Patients were categorized by Radkowski staging and data was collected to document differences in terms of presentation, operative technique, and postoperative course. All patients underwent preoperative embolization. Stage I and selected stage II lesions were approached endoscopically while the remainder underwent open resection. In comparison with open procedures, endoscopic procedures had less intraoperative blood loss (350 vs. 630 cc), operative time (90 vs. 150 min) and the average hospital stay was one day less (3 vs. 4 days). Proper preoperative work up including nonsurgical intervention in the form of embolisation and selecting proper surgical approach is rewarding in case of angiofibromas of all stages which help to reduce morbidity associated with these benign tumours.

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Authors and Affiliations

  1. Department of Otolaryngology, Head and Neck Surgery, Government Medical College Srinagar, House No. 166A, Shah Anwar Colony Hyderpora, Srinagar, Jammu and Kashmir, 190014, India

    Manzoor Ahmad Latoo, Waqar Ul Hamid, Aleena Shafi Jallu, Mudasir Ul Islam & Rafiq Ahmad Pampori

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  1. Manzoor Ahmad Latoo
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  2. Waqar Ul Hamid
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  3. Aleena Shafi Jallu
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  4. Mudasir Ul Islam
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  5. Rafiq Ahmad Pampori
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Correspondence to Waqar Ul Hamid.

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Ethical Standards Statement

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Latoo, M.A., Ul Hamid, W., Jallu, A.S. et al. Nasopharyngeal Angiofibroma: Paradigm Shift in Management. Indian J Otolaryngol Head Neck Surg 69, 47–51 (2017). https://doi.org/10.1007/s12070-016-1049-2

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  • DOI: https://doi.org/10.1007/s12070-016-1049-2

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