DOI: http://dx.doi.org/10.18203/issn.2454-5929.ijohns20190775

A clinical study of endoscopic management of benign tumors of nasopharynx

Devang P. Gupta, Shreya Rai, Shalu Gupta, Nikita Ganvit, Jaydeep Makwana

Abstract


Background: Benign tumors of nasopharynx are extremely rare; seen predominantly in children and young adults. Patients usually present with seemingly innocuous symptoms and an error in judgment can be catastrophic. Aim of our study is to analyse the incidence of these lesions, common presenting features and outcomes of endoscopic management.

Methods: This is a retrospective analysis of patients diagnosed to have benign tumours of nasopharynx by histopathological examination in our ENT department of civil hospital, B. J. Medical College, Ahmedabad. The period of study is from January 2016 to January 2018. Forty patients with complete clinical data were identified and included in the study. 33 patients out of 40 (83%) were males and 7 were females (17%). Following surgical excision patients were followed up for a mean period of 2 years. The Clinical profile, investigation modalities, treatment options are being analysed here.  

Results: Forty patients had undergone surgical excision for tumours arising from the nasopharynx. The mean age was 21.37 years (range 10–43). Thirty three patients were males and seven were females. Indications for resection were juvenile nasopharyngeal angiofibroma in thirty cases, lobular capillary hemangioma in four cases, paraganglioma in two cases, hemangiopericytoma in two cases, and neurofibroma in two cases. There were no significant post-operative complications. Recurrence due to residual lesion was seen in three cases. The mean follow up period was 2 years (range 1-3 years).

Conclusions: It is important to note that patients with similar symptoms have varied pathology and thus need for radiological evaluation, JNA is commonest benign nasopharyngeal tumor and surgical approach depends on size and extent of tumor.


Keywords


Benign tumours, Nasopharynx, Endoscopic

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References


Mohanty S, Gopinath M, Subramanian M. Benign Tumours of Nasopharynx-Revisited. Indian J Otolaryngol Head Neck Surg. 2013;65(1):22-5.

Anatomy of the Nasopharynx. Acta Oto-Laryngologica. 1975;79(329):2-3.

Moorthy PNS, Reddy BR, Qaiyum HA, Srivalli M, Srikanth K. Management of juvenile nasopharyngeal angiofibroma: a five year retrospective study. Indian J Otolaryngol Head Neck Surg. 2010;62(4):390–4.

Callum Faris. Scott-Brown’s Otorhinolaryngology, Head and Neck Surgery. 7th edn. London: Hodder Arnold; 2008: 2449.

Fu YS, Perzin KH. Non-epithelial tumors of the nasal cavity, paranasal sinuses, and nasopharynx: a clinicopathologic study I. General features and vascular tumors. Cancer. 1974;33:1275–88.

Wei WI, Ho CM, Yuen PW, Fung CF, Sham JS, Lam KH. Maxillary swing approach for resection of tumors in and around the nasopharynx. Arch Otolaryngol Head Neck Surg. 1995;121:638–42.

Radkowski D, McGill T, Healy GB, Ohlms L, Jones DT. Angiofibroma changes in staging and treatment. Arch Otolaryngol Head Neck Surg. 1996;122(2):122–9.