Juvenile Nasopharyngeal Angiofibroma: Our Experience in a Tertiary Hospital
AbstractNasopharyngeal angiofibroma is a highly vascular tumor seen typically in young adolescent males. It is an uncommon tumor accounting for less than 0.5% of all head and neck tumors. This peculiar tumor is thought to arise from the area of the sphenopalatine foramen and it classically presents with progressive nasal obstruction and epistaxis. This is a retrospective study of angiofibroma treated at our hospital over 3 years. The study discusses about clinical features, management options and the role of embolization in reducing the intra-operative blood loss.
Authors: INTEGRATE (The National ENT Trainee Research Network) PMID: 30226120 [PubMed - as supplied by publisher]
Conclusions Although cryotherapy appears safe and efficacious, heterogeneous past investigations with low-quality evidence make strong, evidence-based recommendations difficult to make. Further study with validated metrics and controlled populations is certainly warranted and should be encouraged. PMID: 30229670 [PubMed - as supplied by publisher]
Condition: Epistaxis, Cuff Injury, Failure to Pass Nasotracheal Tube Intervention: Other: Nasotracheal Intubation Sponsor: Rajiv Gandhi Cancer Institute&Research Center, India Not yet recruiting
Authors: Inoguchi Y, Kaku B, Kitagawa N, Katsuda S Abstract A 52-year-old man with recurrent epistaxis and palpebral conjunctival telangiectasia visited our hospital for a follow-up checkup for gastrointestinal polyposis. At 48 years of age, he underwent Y-graft replacement for an abdominal aortic aneurysm. Arteriovenous malformation (AVM) was detected in his lungs, and a genetic test revealed an SMAD4 mutation. Eventually, he was diagnosed with juvenile polyposis-hereditary hemorrhagic telangiectasia (JP-HHT) syndrome. In addition, fatty degeneration of the left ventricle (LV) and a coronary aneurysm were detected...
If the insides of the nasal passages are too dry, it can cause pain, itching, scabbing, nosebleeds, and congestion. However, a dry nose is rarely a cause for concern, and a person can usually treat it themselves, by inhaling steam or by using a humidifier, nasal sprays, or nasal rinses. Learn more here.
New England Journal of Medicine,Volume 379, Issue 11, Page 1072-1081, September 2018.
We report a case of GPC in a 74-year-old woman with a history of recurrent epistaxis and nasal obstruction. A reddish tumor was seen in the right nasal cavity. Enhanced computed tomography showed a mass lesion occupying the right nasal cavity. The tumor, which originated from the nasal septum in the olfactory fissure area, was resected with 5-mm mucosal margins by endoscopic sinus surgery. Histologic examination revealed a uniform proliferation of oval-to-short spindle-shaped cells beneath the epithelium. Immunohistologic analysis demonstrated the tumor cells were positive for α-smooth muscle actin, β-catenin an...
CONCLUSION: These three cases illustrate the value of discussing potential foreign body granulomatous reaction in cases of facial nodules following cervico-facial embolization. Colchicine may offer a valuable therapeutic alternative. PMID: 30217682 [PubMed - as supplied by publisher]
The patient, known only by his surname Pan, went to Dongguan Chang'an Hospital in South China's Guangdong province after he experienced a near-nonstop nosebleed for 10 days.