Juvenile nasopharyngeal angiofibroma - Revision history

ClaireLewis: /* Clinical Features */

2019-09-15T01:01:53Z

Clinical Features

← Older revision		Revision as of 01:01, 15 September 2019
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	*Tumors can lead to local destruction and invasion, and can extend through ethmoid plate and cause cranial nerve deficits, decreased visual acuity, and abnormal extraocular movements		*Tumors can lead to local destruction and invasion, and can extend through ethmoid plate and cause cranial nerve deficits, decreased visual acuity, and abnormal extraocular movements
	*Almost all are primarily in nasopharynx, but extranasal cases have been reported		*Almost all are primarily in nasopharynx, but extranasal cases have been reported
	*Highly prone to epistaxis		*Highly prone to [[epistaxis]]

	==Differential Diagnosis==		==Differential Diagnosis==

Rossdonaldson1: /* Evaluation */

2019-08-14T02:17:34Z

Evaluation

← Older revision		Revision as of 02:17, 14 August 2019
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	[[File:JNA1.jpg\|thumb]]		[[File:JNA1.jpg\|thumb]]
	*In conjunction with consultants, will need MRI preferably, CT if unavailable		*In conjunction with consultants, will need MRI preferably, CT if unavailable
	*Thorough evaluation of CN I-XII, with emphasis on smell, visual acuity, extraocular movements		*Thorough evaluation of [[CN I-XII]], with emphasis on smell, visual acuity, extraocular movements

	==Management==		==Management==

Rossdonaldson1: /* Clinical Features */

2019-08-14T01:36:03Z

Clinical Features

← Older revision		Revision as of 01:36, 14 August 2019
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	*Adolescent males most common		*Adolescent males most common
	*Almost always unilateral		*Almost always unilateral
	*Often presenting with history consistent with sinusitis, though with abnormal elements that may include cranial nerve abnormalities, or failure of treatment		*Often presenting with history consistent with [[sinusitis]], though with abnormal elements that may include [[cranial nerve abnormalities]], or failure of treatment
	*Can present with asymmetric facial swelling/pain		*Can present with asymmetric [[facial swelling]]/pain
	*Tumors can lead to local destruction and invasion, and can extend through ethmoid plate and cause cranial nerve deficits, decreased visual acuity, and abnormal extraocular movements		*Tumors can lead to local destruction and invasion, and can extend through ethmoid plate and cause cranial nerve deficits, decreased visual acuity, and abnormal extraocular movements
	*Almost all are primarily in nasopharynx, but extranasal cases have been reported		*Almost all are primarily in nasopharynx, but extranasal cases have been reported

Rossdonaldson1 at 01:34, 14 August 2019

2019-08-14T01:34:11Z

← Older revision		Revision as of 01:34, 14 August 2019
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	==See Also==		==See Also==

			==External Links==

	==References==		==References==

Rossdonaldson1: /* References */

2019-08-14T01:33:39Z

References

← Older revision		Revision as of 01:33, 14 August 2019
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	==References==		==References==
			<references/>

	[[Category:Pediatrics]]		[[Category:Pediatrics]]
	[[Category:ENT]]		[[Category:ENT]]

Rossdonaldson1: /* Disposition */

2019-08-14T01:32:59Z

Disposition

← Older revision		Revision as of 01:32, 14 August 2019
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	**Strict no digital trauma to nose, no foreign bodies, no steroid inhalers-avoid anything that would increase bleeding risk		**Strict no digital trauma to nose, no foreign bodies, no steroid inhalers-avoid anything that would increase bleeding risk
	*If cranial nerve involvement may consider admission for observation prior to urgent surgery		*If cranial nerve involvement may consider admission for observation prior to urgent surgery

			==See Also==

			==References==

			[[Category:Pediatrics]]
			[[Category:ENT]]

Rossdonaldson1: Rossdonaldson1 moved page Juvenile Nasopharyngeal Angiofibroma (JNA) to Juvenile nasopharyngeal angiofibroma

2019-08-14T01:31:42Z

Rossdonaldson1 moved page Juvenile Nasopharyngeal Angiofibroma (JNA) to Juvenile nasopharyngeal angiofibroma

← Older revision	Revision as of 01:31, 14 August 2019
(No difference)

ElavemanMD: /* Clinical Features */

2019-07-22T15:56:09Z

Clinical Features

← Older revision		Revision as of 15:56, 22 July 2019
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	==Clinical Features==		==Clinical Features==
			[[File:JNA-Nare.jpg\|thumb]]
	*Adolescent males most common		*Adolescent males most common
			*Almost always unilateral
	*Often presenting with history consistent with sinusitis, though with abnormal elements that may include cranial nerve abnormalities, or failure of treatment		*Often presenting with history consistent with sinusitis, though with abnormal elements that may include cranial nerve abnormalities, or failure of treatment
	*Can present with asymmetric facial swelling/pain		*Can present with asymmetric facial swelling/pain

ElavemanMD: /* Evaluation */

2019-07-22T15:53:02Z

Evaluation

← Older revision		Revision as of 15:53, 22 July 2019
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	==Evaluation==		==Evaluation==
			[[File:JNA1.jpg\|thumb]]
	*In conjunction with consultants, will need MRI preferably, CT if unavailable		*In conjunction with consultants, will need MRI preferably, CT if unavailable
	*Thorough evaluation of CN I-XII, with emphasis on smell, visual acuity, extraocular movements		*Thorough evaluation of CN I-XII, with emphasis on smell, visual acuity, extraocular movements

ElavemanMD at 03:00, 22 July 2019

2019-07-22T03:00:51Z

← Older revision		Revision as of 03:00, 22 July 2019
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	*Juvenile nasopharyngeal angiofibromas (JNAs) are rare, highly vascular and aggressive tumors that almost exclusively present in adolescent males<ref>Mehan, R., Rupa, V., Lukka, V. K., Ahmed, M., Moses, V., & Shyam Kumar, N. K. (2016). Association between vascular supply, stage and tumour size of juvenile nasopharyngeal angiofibroma. European Archives of Oto-Rhino-Laryngology, 273(12), 4295–4303. https://doi.org/10.1007/s00405-016-4136-9</ref>		*Juvenile nasopharyngeal angiofibromas (JNAs) are rare, highly vascular and aggressive tumors that almost exclusively present in adolescent males<ref>Mehan, R., Rupa, V., Lukka, V. K., Ahmed, M., Moses, V., & Shyam Kumar, N. K. (2016). Association between vascular supply, stage and tumour size of juvenile nasopharyngeal angiofibroma. European Archives of Oto-Rhino-Laryngology, 273(12), 4295–4303. https://doi.org/10.1007/s00405-016-4136-9</ref>
	*Primary vascular supply in almost all tumors arise from the internal maxillary artery, and some patients may present primarily with recurrent and poorly controlled epistaxis<ref>Mishra, A., Verma, V., & Mishra, S. C. (2017). Juvenile ‘Perinasal’ Angiofibroma. Indian Journal of Otolaryngology and Head & Neck Surgery, 69(1), 67–71. </ref>		*Primary vascular supply in almost all tumors arise from the internal maxillary artery, and some patients may present primarily with recurrent and poorly controlled epistaxis<ref>Mishra, A., Verma, V., & Mishra, S. C. (2017). Juvenile ‘Perinasal’ Angiofibroma. Indian Journal of Otolaryngology and Head & Neck Surgery, 69(1), 67–71. </ref>
	*Can present with asymmetric facial swelling/pain
	*Almsot all are primarily in nasopharynx, but extranasal cases have been reported.
	*Tumors can lead to local destruction and invasion, and can extend through ethmoid plate and cause cranial nerve deficits, decreased visual acuity, and abnormal extraocular movements

	==Clinical Features==		==Clinical Features==
	*Adolescent males most common		*Adolescent males most common
	*Often presenting with history consistent with sinusitis, though with abnormal elements that may include cranial nerve abnormalities, or failure of treatment		*Often presenting with history consistent with sinusitis, though with abnormal elements that may include cranial nerve abnormalities, or failure of treatment
	*~~May have mass visible~~ in nasopharynx ~~or rarely in oropharynx from extension.~~		*Can present with asymmetric facial swelling/pain
			*Tumors can lead to local destruction and invasion, and can extend through ethmoid plate and cause cranial nerve deficits, decreased visual acuity, and abnormal extraocular movements
			*Almost all are primarily in nasopharynx, but extranasal cases have been reported
	*Highly prone to epistaxis		*Highly prone to epistaxis