A CLINICAL STUDY ON JUVENILE NASAL ANGIOFIBROMA IN A TERTIARY HOSPITAL OF KERALA

• Published in: Journal of evolution of medical and dental sciences Vol. 6; no. 24; pp. 2033 - 2037
• Main Authors: George, Binu Raju, Oommen, Beena
• Format: Journal Article
• Language: English
• Published: Akshantala Enterprises Private Limited 23.03.2017
• Subjects: Care and treatment; Diagnosis; Nasopharyngeal cancer; India
• ISSN: 2278-4748; 2278-4802
• DOI: 10.14260/jemds/2017/443

BACKGROUND Juvenile Nasal Angiofibroma is not an uncommon disease encountered in ENT practice. The surgical management is the mainstay of its treatment. CT scan and MRI and advent of Hypotensive anaesthesia has improved its pre-operative evaluation and lessened postoperative morbidity. The present study is to analyse retrospectively the clinical features and diagnostic features followup of 52 patients undergoing surgery in a tertiary hospital. Aim- To study the incidence, mode of presentation and clinical course of the disease; to highlight the relevant investigations deemed necessary to make the diagnosis of juvenile nasopharyngeal angiofibroma. MATERIALS AND METHODS The demographic data of the patients was recorded; incidence of tumour with reference of age, sex and site of origin, mode of presentation, clinical findings, different types of investigation and different modalities of treatment, postoperative problems and also the followup details were extracted from the case records and analysed using standard statistical methods. RESULTS All patients were males and their age varied from 13 years to 38 years with a mean age of 19.4 [+ or -] 2.6 years; > 90% of the patients were below the age of 25 years; 46.87% of the patients reported to the ENT Department with complaints of 6 to 12 months' duration and 37.50% less than 6 months. Progressive nasal obstruction and nasal bleeding were the main presenting symptoms in all the patients; recurrence was seen in 2 patients. CONCLUSION In totality, male incidence of this disease strongly indicates the need for chromosome studies of females with this diagnosis. CT scan is very important in finding out the extent of tumour and deciding the mode of treatment. Surgery is the treatment of choice. There is no single surgical technique, which solves all problems encountered. KEYWORDS Nasal Cavity, Nasopharynx, Tumour, Angiofibroma, Juvenile and Benign.