Journal article
Nasopharyngeal angiofibroma
Head & neck, Vol.14(1), pp.67-71
01/1992
DOI: 10.1002/hed.2880140115
PMID: 1320599
Abstract
Based on this patient's history and the imaging studies, all the consultants agree that they are dealing with a juvenile nasopharyngeal angiofibroma. They agree that a biopsy is not necessary. However, angiography would be obtained by 2 physicians (Drs. Seid and Weber). When treating an extensive JNA, the consultants differ in their approaches. One favors a lateral infratemporal fossa approach (Dr. Gantz), but the others favor a combined approach (Drs. Seid and Weber). In this particular case, 2 experts favor resection (Drs. Gantz and Weber), but one would irradiate (Dr. Seid). There is also disagreement regarding the severity of morbidity. Minor problems include conductive hearing loss, paresis of the third division of the fifth cranial nerve (Dr. Gantz), and a transient facial nerve paralysis (Dr. Weber). They are more concerned about the long-range problems from skull-base radiotherapy including brain-stem compromise, pituitary dysfunction, and radiation-induced malignancies. No one suggests chemotherapy or multimodal therapy. Regarding the natural history of JNA, the views range from no spontaneous regression (Dr. Gantz), gradual involution over time (Dr. Seid), or an indolent nature that requires tapering the treatment to the benign nature of the process (Dr. Weber).
Details
- Title: Subtitle
- Nasopharyngeal angiofibroma
- Creators
- Nancy L Snyderman - Department of Otolaryngology-Head and Neck Surgery, University of Iowa, Iowa City, IowaRichard J. H Smith - University of IowaBruce Gantz - University of IowaAllan B Seid - Department of Otolaryngology-Head and Neck Surgery, Hillcrest Medical Center, San Diego, CaliforniaRandal S Weber - Department of Otolaryngology-Head and Neck Surgery, The University of Texas M. D. Anderson Cancer Center, Houston, Texas
- Resource Type
- Journal article
- Publication Details
- Head & neck, Vol.14(1), pp.67-71
- Publisher
- Wiley Subscription Services, Inc., A Wiley Company
- DOI
- 10.1002/hed.2880140115
- PMID
- 1320599
- ISSN
- 1043-3074
- eISSN
- 1097-0347
- Number of pages
- 5
- Language
- English
- Date published
- 01/1992
- Academic Unit
- Roy J. Carver Department of Biomedical Engineering; Molecular Physiology and Biophysics; Anatomy and Cell Biology; Stead Family Department of Pediatrics; Iowa Neuroscience Institute; Neurosurgery; Otolaryngology; Internal Medicine
- Record Identifier
- 9984256881502771
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