Juvenile Angiofibroma: Evolution of Management

Juvenile angiofibroma is a rare benign lesion originating from the pterygopalatine fossa with distinctive epidemiologic features and growth patterns. The typical patient is an adolescent male with a clinical history of recurrent epistaxis and nasal obstruction. Although the use of nonsurgical therap...

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Main Authors: Piero Nicolai, Alberto Schreiber, Andrea Bolzoni Villaret
Format: Article
Language:English
Published: Hindawi Limited 2012-01-01
Series:International Journal of Pediatrics
Online Access:http://dx.doi.org/10.1155/2012/412545
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author Piero Nicolai
Alberto Schreiber
Andrea Bolzoni Villaret
author_facet Piero Nicolai
Alberto Schreiber
Andrea Bolzoni Villaret
author_sort Piero Nicolai
collection DOAJ
description Juvenile angiofibroma is a rare benign lesion originating from the pterygopalatine fossa with distinctive epidemiologic features and growth patterns. The typical patient is an adolescent male with a clinical history of recurrent epistaxis and nasal obstruction. Although the use of nonsurgical therapies is described in the literature, surgery is currently considered the ideal treatment for juvenile angiofibroma. Refinement in preoperative embolization has provided significant reduction of complications and intraoperative bleeding with minimal risk of residual disease. During the last decade, an endoscopic technique has been extensively adopted as a valid alternative to external approaches in the management of small-intermediate size juvenile angiofibromas. Herein, we review the evolution in the management of juvenile angiofibroma with particular reference to recent advances in diagnosis and treatment.
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spelling doaj.art-cc289e1b647147a08b664c8018e527ac2022-12-22T03:57:58ZengHindawi LimitedInternational Journal of Pediatrics1687-97401687-97592012-01-01201210.1155/2012/412545412545Juvenile Angiofibroma: Evolution of ManagementPiero Nicolai0Alberto Schreiber1Andrea Bolzoni Villaret2Department of Otorhinolaryngology, University of Brescia, Piazza Spedali Civili 1, 25123 Brescia, ItalyDepartment of Otorhinolaryngology, University of Brescia, Piazza Spedali Civili 1, 25123 Brescia, ItalyDepartment of Otorhinolaryngology, University of Brescia, Piazza Spedali Civili 1, 25123 Brescia, ItalyJuvenile angiofibroma is a rare benign lesion originating from the pterygopalatine fossa with distinctive epidemiologic features and growth patterns. The typical patient is an adolescent male with a clinical history of recurrent epistaxis and nasal obstruction. Although the use of nonsurgical therapies is described in the literature, surgery is currently considered the ideal treatment for juvenile angiofibroma. Refinement in preoperative embolization has provided significant reduction of complications and intraoperative bleeding with minimal risk of residual disease. During the last decade, an endoscopic technique has been extensively adopted as a valid alternative to external approaches in the management of small-intermediate size juvenile angiofibromas. Herein, we review the evolution in the management of juvenile angiofibroma with particular reference to recent advances in diagnosis and treatment.http://dx.doi.org/10.1155/2012/412545
spellingShingle Piero Nicolai
Alberto Schreiber
Andrea Bolzoni Villaret
Juvenile Angiofibroma: Evolution of Management
International Journal of Pediatrics
title Juvenile Angiofibroma: Evolution of Management
title_full Juvenile Angiofibroma: Evolution of Management
title_fullStr Juvenile Angiofibroma: Evolution of Management
title_full_unstemmed Juvenile Angiofibroma: Evolution of Management
title_short Juvenile Angiofibroma: Evolution of Management
title_sort juvenile angiofibroma evolution of management
url http://dx.doi.org/10.1155/2012/412545
work_keys_str_mv AT pieronicolai juvenileangiofibromaevolutionofmanagement
AT albertoschreiber juvenileangiofibromaevolutionofmanagement
AT andreabolzonivillaret juvenileangiofibromaevolutionofmanagement