Transpalatal approach- a cosmetically acceptable route for removal of small juvenile nasopharyngeal angiofibroma

ABSTRACT

To determine frequency of employment of transpalatal route for a cosmetically acceptable outcome in surgically addressing small juvenile nasopharyngeal angiofibroma. Descriptive Study. The study was carried out in department of ENT and Head and Neck surgery Combined Military Hospital Rawalpindi and Combined Military Hospital Lahore from January 2005 - January 2008. Patients age less than 18 years with small juvenile nasopharyngeal angiofibroma [Radkowskis Stage I] were included in the study. These patients were managed surgically. A total of twenty four cases were included in this study, nine [37.5%] were managed by transpalatal route. Four patients had stage la 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. Transpalatal route is novel approach to deal cosmetically with small juvenile nasopharyngeal angiofibroma