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August 1962

Nasopharyngeal Angiofibroma: Removal with Hypothermia

Arch Otolaryngol. 1962;76(2):167-173. doi:10.1001/archotol.1962.00740050173011

Nasopharyngeal fibroma is a relatively rare lesion, admissions for this to the Head and Neck Service of the Memorial Hospital in New York for example, representing only 1 in 1500 cases.1,4 Nevertheless, the serious and complicated nature of the lesion and the surgical problems encountered which can present enormous technical difficulties, are sufficient to warrant our most serious consideration.

The tumor occurs almost exclusively in males, the incidence of reported occurrence in females being minute. Serious question has been raised as to whether or not, even in those few cases reported in females, the diagnosis has been correct.2,6

There is considerable disagreement upon the relationship of the tumor to the processes of sexual growth. This is of considerable practical importance, since the concept of this relationship to the sex hormones is reflected in suggested plans of treatment.

Some authors7,9 believe that with the development of sexual maturity,