Juvenile nasopharyngeal angiofibroma is histologically benign and characterized by growth potential and expansive growth. In the course of growing it encroaches upon the adjacent structures. Although most authors now advocate surgery, there is no agreement as to technique. The present communication reports the transpalatine approach. The palatal mucoperiosteum is reflected backwards in continuity with the soft palate after an arcuate incision along the teeth, exposing the posterior margin of the hard palate, part of which may be removed, major or minor as required. The tumor is detached in the nasopharynx by subperiosteal dissection. Thereafter, an attempt is made to remove it in toto by traction and further dissection, and its extensions to the nasal sinuses are removed with the tumor. Eight patients were operated upon without complications. There have been no recurrences, and all the patients are symptom-free.
Thomsen KA. Surgical Treatment of Juvenile Nasopharyngeal Angiofibroma. Arch Otolaryngol. 1971;94(3):191–194. doi:10.1001/archotol.1971.00770070185001
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