Vol.99 No.5 contentsPRACTICA OTO-RHINO-LARYNGOLOGICA
Vol. 99 No. 5 May 2006
A Case of Nasopharyngeal Angiofibroma
Hitoshi Tsujie, Akihito Watanabe and Masanobu Taniguchi
(Keiyuukai Sapporo Hospital)
Nasopharyngeal angiofibroma is a benign tumor occurring mostly in youth. Despite being a benign tumor, it is an invasive lesion, recurs, frequently, and bleeds easily. Therefore, surgeons find it difficult to excise.
A 18-year-old man consulted our hospital complaining of nasal obstruction for 6 months. Rhinoscopic examination demonstrated a smooth red mass in the left nasal cavity. We excised the mass via the maxillary sinus using a contact YAG LASER. Nasal endoscope was used to assist in identifying the expansion of the tumor. MRA was useful to identify the feeding artery. The volume of bleeding was 700 ml. Seven years after surgery, and the tumor has not recurrented. The YAG LASER, nasal endoscopic assist and MRA was useful to reduce blood loss.
Key words : nasopharyngeal angiofibroma, YAG LASER, nasal endoscopic assist, MRA