Endoscopic removal of juvenile nasopharyngeal angiofibroma: Conventional versus coblation-assisted

Salina Husain, Izham Mesran, Syed Zaifullah, Balwant Singh Gendeh, Mohd Razif Yunos

Research output: Contribution to journalArticle

Abstract

Objective: To review the outcomes of endoscopic removal of juvenile nasopharyngeal angiofibroma (JNA) with or without coblation. Methodology: This is a retrospective study of 10 patients who underwent endoscopic removal of JNA from January 2004 to November 2014 at the Otorhinolaryngology-Head Neck Surgery, Universiti Kebangsaan Malaysia Medical Center. Results: Five patients had Stage 1,3 patients with Stage II and another 2 patients with Stage Ilia tumors. All patients were males with age range of 10-32 years. Majority of patients were in their 2nddecade of life. All underwent endoscopic removal of the JNA within 24 hours post angiogram and embolization. Three patients were operated using coblator (Stage I, II and Ilia tumors) and 7 patients without coblation-assisted surgery (Stage I, II and Ilia). Endoscopic removal of tumor with coblation had a mean blood loss of 0.9 liter with no blood transfusion. The mean duration of hospital stay was 2 days. On the other hand, endoscopic removal of tumor without coblation-assisted had mean blood loss of 1.2 with mean blood transfusion of 1.2 pint. The mean hospital stay was 5.8 days. Conclusion: Endoscopic approach in JNA resection is treatment of choice, as it provides less invasive nature, minimal morbidity and better visualization. In combination with coblation-assisted endoscopic JNA resection, this further decreased intraoperative hemorrhage and provided better resection of the tumor.

Original languageEnglish
Pages (from-to)90-94
Number of pages5
JournalRawal Medical Journal
Volume41
Issue number1
Publication statusPublished - 2016

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Angiofibroma
Ilium
Neoplasms
Blood Transfusion
Length of Stay
Malaysia
Otolaryngology
Angiography
Retrospective Studies
Head
Hemorrhage
Morbidity

Keywords

  • Angiofibroma
  • Coblation
  • Endoscopic

ASJC Scopus subject areas

  • Medicine(all)
  • Nursing(all)

Cite this

Endoscopic removal of juvenile nasopharyngeal angiofibroma : Conventional versus coblation-assisted. / Husain, Salina; Mesran, Izham; Zaifullah, Syed; Gendeh, Balwant Singh; Yunos, Mohd Razif.

In: Rawal Medical Journal, Vol. 41, No. 1, 2016, p. 90-94.

Research output: Contribution to journalArticle

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