Is nasopharyngeal angiofibroma serious?

Nasopharyngeal angiofibroma is a common physical disease in the human body. It can easily cause blood vessel rupture or bleeding. It is a relatively serious disease for physical health and can easily have a great impact on physical health. It can also easily cause some vascular diseases. It needs to be treated with drug therapy, and you need to pay more attention to observe the condition at ordinary times.

Is nasopharyngeal angiofibroma serious?

Clinical diseases may require surgical treatment. Current treatment technologies include laser or physical freezing technology. Conservative drug treatment of the disease is of little significance. Clinical diseases may be followed by secondary symptoms such as vascular rupture and bleeding. Fibroma will gradually grow larger and the severity of clinical diseases will gradually worsen.

treat

In addition to general therapies such as improving nutrition and treating anemia, the treatment of nasopharyngeal angiofibroma also includes radiotherapy, local injection of sclerosing agents, arterial embolization, and freezing, but none of them have a radical effect. Currently, surgical resection is still the main treatment. Because the tumor is located in the nasopharynx, it can easily invade the nasal cavity, paranasal sinuses, and pterygomaxillary space. Due to its deep location, it is not easy to expose and there is often severe bleeding, making the surgical operation difficult and dangerous. Sometimes the tumor recurs due to incomplete removal. Therefore, adequate preparation must be made before surgery, using excellent anesthesia methods, choosing the appropriate surgical approach to expose the tumor and skilled surgical operations to avoid danger and reduce postoperative recurrence.

Prognosis

This is usually caused by a wide tumor base, which results in severe bleeding and residual tumor when the tumor is removed; or the tumor bypasses the pterygoid plate, or passes through the pterygoid plate and pterygomandibular fissure to reach the infratemporal fossa and pterygopalatine fossa, which is also difficult to completely remove and continues to grow after surgery. The recurrence rate of nasopharyngeal angiofibroma after surgery is quite high, approximately 1/6 to 1/2 according to statistics. For recurrent tumors, surgery, injection of sclerosing agents, radiotherapy or cryotherapy may be performed as appropriate. As for the issue of tumor recurrence and spontaneous disappearance after surgery, there is still controversy about this, but the possibility exists.

examine

X-rays, especially tomographic films, CT scans, or MRI films, can help us understand the size, direction of extension, and range of invasion of the tumor. The application of selective carotid angiography, especially digital subtraction angiography (DSA), can determine the blood supply source of the tumor, as well as the extent and extension direction of the tumor, so as to formulate an appropriate surgical plan.

diagnosis

A diagnosis can usually be made based on symptoms and examination findings, combined with age and gender characteristics. Although pathological examination can provide a clear diagnosis, it can easily cause severe bleeding, so biopsy is generally not performed.