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...
Main Authors: | , , |
---|---|
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 |
_version_ | 1826998799155855360 |
---|---|
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. |
first_indexed | 2024-04-11T23:07:59Z |
format | Article |
id | doaj.art-cc289e1b647147a08b664c8018e527ac |
institution | Directory Open Access Journal |
issn | 1687-9740 1687-9759 |
language | English |
last_indexed | 2025-02-18T10:19:53Z |
publishDate | 2012-01-01 |
publisher | Hindawi Limited |
record_format | Article |
series | International Journal of Pediatrics |
spelling | doaj.art-cc289e1b647147a08b664c8018e527ac2024-11-02T05:31:33ZengHindawi 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 |