Objectives: Juvenile nasopharyngeal angiofibroma
(JNA) cases treated with transpalatal approach were
evaluated with respect to localization, complications,
intraoperative blood loss, recurrence, and prognosis.
Patients and Methods: The study included 15 male
patients (mean age 13 years; range 10 to 16 years)
treated for JNA. The patients were classified according
to the Chandler staging system. Transpalatal surgical
excision was performed in 14 patients. Preoperative
embolization of the maxillary arteries was performed in
three patients. One patient with intracranial extension
was treated with radiotherapy. The mean follow-up was
3 years-7 months (range 7 months to 7 years).
Results: Three patients (20%) had Chandler stage
II, 11 patients (73%) had stage III, and one patient
(7%) had stage IV disease. The mean intraoperative
blood loss was 575 ml in three patients with preoperative
embolization, and 1,079 ml in those without
embolization. The average intraoperative transfusion
requirement was 2.3 units. Recurrences developed
in three patients (20%), two of whom were
treated by surgery and one by radiotherapy.
Conclusion: Transpalatal surgical approach is
effective in the treatment of JNAs localized in the
nasopharynx, nasal cavity, and sphenoid sinuses,
with minimal mortality and morbidity.
FREE FULL TEXTAnahtar Kelimeler: Anjiyofibrom/cerrahi; embolizasyon,terapötik; nazofarenks neoplazileri/cerrahi.