Sikdar Abhik, Khan Sidra, Nivsarkar Sameer, Phatak Shrikant
Department of ENT, Choithram Hospital And Research Centre, Indore, India.
Indian J Otolaryngol Head Neck Surg. 2022 Dec;74(Suppl 3):4680-4687. doi: 10.1007/s12070-021-03008-7. Epub 2022 Jan 6.
Juvenile Nasopharyngeal Angiofibroma (JNA) is a benign vascular tumour typically occurring in adolescent males. Presentation beyond this age group and in female is rare. Classically it was surgically removed by various external approaches. Present gold standard of therapy is endoscopic excision. This is less morbid, avoids external scar and allows complete tumour removal under magnified view. Dehiscent internal carotid artery (ICA) canal is a rare condition which presents mostly as a pulsatile tinnitus or otalgia. Accidental injury to the exposed vessel during ear surgery may cause devastating consequences. Present case is a lady who was operated for left NPA 10 years back when she was 11 years age. Presently she presented with left ear pain which was diagnosed to be due to dehiscent ICA canal. We present a comprehensive review of world literature on the incidence of nasopharyngeal and extra-nasopharyngeal angiofibroma in women in the region of nose and para-nasal sinuses. There has been only 3 cases of NPA in adolescent females documented till date. This is the first documented case of NPA in adolescent female with subsequent ICA dehiscence.
The online version contains supplementary material available at 10.1007/s12070-021-03008-7.
青少年鼻咽血管纤维瘤（JNA）是一种良性血管肿瘤，通常发生于青春期男性。在这个年龄组以外以及女性中出现的情况罕见。传统上，它是通过各种外部手术方法切除的。目前的治疗金标准是内镜切除。这种方法创伤较小，避免了外部瘢痕，并且能在放大视野下完整切除肿瘤。颈内动脉（ICA）管裂是一种罕见情况，主要表现为搏动性耳鸣或耳痛。耳部手术期间意外损伤暴露的血管可能会导致灾难性后果。本病例是一位女性，10年前11岁时接受了左侧鼻咽血管纤维瘤手术。目前她因左耳疼痛就诊，被诊断为颈内动脉管裂所致。我们对世界文献中关于鼻和鼻窦区域女性鼻咽血管纤维瘤及鼻外血管纤维瘤发病率进行了全面综述。迄今为止，仅有3例青少年女性鼻咽血管纤维瘤的记录。这是首例记录在案的青少年女性鼻咽血管纤维瘤伴随后续颈内动脉管裂的病例。
在线版本包含可在10.1007/s12070 - 021 - 03008 - 7获取的补充材料。
