Endoscopic removal of juvenile angiofibromas.

Abstract

Angiofibromas have traditionally been removed through open procedures. All tumors in this consecutive series of patients were removed endoscopically. Tertiary care hospital. Seven consecutive patients presenting with an angiofibroma between 1994 and 2000 were included in the study. Tumor size varied with 1 stage 1, 2 stage IIa, 3 stage IIb, and 1 stage IIC according to the Radkowski et al classification. The surgical technique is presented. After an average of 3.75 years (SD, 1.9 years), there have been no tumor recurrences. Endoscopic removal of angiofibromas in the nasal cavity, with extension into the sinuses and pterygopalatine fossa and with limited extension into the infratemporal fossa, can be removed endoscopically with a good success rate.