TRANSPALATAL APPROACH- A COSMETICALLY ACCEPTABLE ROUTE FOR REMOVAL OF SMALL JUVENILE NASOPHARYNGEAL ANGIOFIBROMA

Abstract

Objective: To determine frequency of employment of transpalatal route for a cosmetically acceptable outcome in surgically addressing small juvenile nasopharyngeal angiofibroma.
Study Design: Descriptive Study
Place and Duration: Joint Venture of Department of ENT and Head & Neck surgery Combined Military Hospital Rawalpindi and Department of ENT and Head & Neck surgery Combined Military Hospital Lahore from January 2005- January 2008.
Patients and Methods: Patients age less than 18 years with small juvenile nasopharyngeal angiofibroma (Radkowskis Stage I) were included in the study. These patients were managed surgically.
Results: There were a total of Twenty Four cases included in this study nine (37.5%) were managed by transpalatal route. Four patients had stage Ia and five had Stage Ib disease. Patients were studied in terms of facial appearance six months post operatively. None of the patients showed any facial deformity.
Conclusion: Transpalatal route is novel approach to cosmetically deal with small juvenile nasopharyngeal angiofibroma.