Research Article

Multiport Combined Endoscopic Approach to Nonembolized Juvenile Nasopharyngeal Angiofibroma with Parapharyngeal Extension: An Emerging Concept

Table 1

Summary of patient details.

Case12

Age21 years18 years

PresentationRight sided nasal obstruction and intermittent epistaxis since 3 yearsProgressive right side nasal obstruction and headache since 2 years

Endoscopic findingsSmooth fleshy mass seen at right external naresFleshy mass in right nasal cavity

Radiological findingsContrast enhancing mass occupying the right nasal cavity, sphenoid sinus, pterygopalatine, and infratemporal fossa with deep extensions into the prestyloid upper parapharyngeal space laterally and skull base superiorlyEnhancing mass lesion in the right nasal cavity, pterygopalatine, & infratemporal fossa with lateral extension into the parapharyngeal space

Surgical time5 hours4 hours

Blood loss2675 ml

SurveillanceNo residual/recurrence