Angiofibroma - a study of 22 cases at Allied Hospital Punjab Medical College, Faisalabad.

Abstract

Objective: The Primary objective of the study was to study the presentation of Angiofibroma of Nasopharynx in Faisalabad and to compare the results of various treatment modalities.  DESIGN: Prospective comparative study: SETTINGS: The study was carried out at the department of ENT & Head & Neck Surgery Allied Hospital Faisalabad, a tertiary care hospital. PERIOD: June 2001 – June 2006. PATIENTS AND METHODS: A study of 22 cases of Angiofibroma including all cases during the 5 years was carried out. All the patients were admitted. Detailed history, physical examinations, and investigations were done. CT Scan with contrast was done in all cases and in some selected cases, MRI was also done in some cases.RESULTS: All the patients were male between 10 – 25   years of age.  All the presented with epistaxis  (100%).    Other features included, nasal Obstruction, nasal discharge, orbital patients proptosis, mass in the nose and obvious deformity. All the patients underwent surgical excision except two, which were found inoperable. In 3 patients, the tumour was excised by transpalatal approach. In 3 patients, Transnasal – Maxillary approach using Weber Fergusson,s incision was done and in 14 patients, Lateral Rhinotomy was used. CONCLUSIONS: Angiofibroma is a difficult condition to deal with. Any patient with the slightest suspicion must be thoroughly investigated, as early diagnosis makes huge difference in outcome. Surgical excision is the treatment of choice.