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The usual clinical behaviour of Juvenile nasopharyngeal angiofibroma is one of locally expanding growth with a potential for intracranial extension. The management of the tumour has raised many important and interesting issues to both the surgeons and radiotherapists. The sophisticated diagnostic techniques, better anaesthetic and operative facilities have reduced the complications associated with this tumour. The surgical approaches for this tumour have evolved over a long period of time. This study includes management of Juvenile nasopharyngeal angiofibroma in 25 patients where different treatment modalities were offered. Operative procedures giving widest possible exposure for that specific situation are the treatment of choice and radiotherapy is generally reserved for unresectable lesions.
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