Nasal angiofibroma is commonly seen in which age group?
Correct Answer: Adolescent male
Description: Juvenile nasopharyngeal angiofibroma uMC nasopharyngeal benign tumoruTestosterone dependent tumor uMC site of JNA - Sphenopalatine foramen uMC in adolescent boys of 10 - 20 years of age uLocally invasive and vasoformative tumor uClinical features Symptoms Signs oSpontaneous profuse & recurrent epistaxis oProgressive U/L nasal obstruction oHyposmia/AnosmiaoOtalgia, Conducting hearing loss & Serous OM oPink, purplish mass obstructing choanae oSplaying of nasal bones oProptosis & frog face deformity oDiplopia with diminished vision oCN involvement - 2, 3, 4, 5, 6uDiagnosis oIOC of JNA - CECT scan oPathognomonic of JNA - Antral sign or Holmer Miller sign (MRI scan)oCarotid angiography - Shows the tumour extent, vascularity & feeding vessel oBiopsy is contraindicated as it lacks muscular coat uTreatment Surgical RxMinimally invasive Adjunct Rx oTranspalatineoTranspalatine + Sublabial (Sardana approach)oLateral rhinotomy facial incisionoExtended Denker approachoCraniofacial resection approach infratemporal fossaoEndoscopicoTrans maxillary (Le Fo I)oMaxillary swing approachoCarotid angiography with embolization of the feeding vessel, preop stilbestrol, preop radiation therapy and cryotherapyoRadiationoDiethylstilbestrol + Flutamide oChemotherapy with doxorubicin + vincristine + dacarbazine Ref: PL Dhingra, Diseases of Ear, Nose & Throat, 7th edition, pg no. 228
Category:
ENT
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now