Juvenile nasopharyngeal angiofibroma is the most common formation in the nasopharynx in children. Only boys have a predisposition to this disorder.
Angiofibroma is a formation which structure consists of connective and vascular tissue. Scientists believe that this formation begins to actively transform from the remnants of embryonic tissue during periods of hormonal surges in boys. The first symptoms may appear already at the age of 7.
Symptoms of angiofibroma
- Nasal congestion, up to the absence of nasal breathing. This symptom is the first to appear. As a rule, nasal congestion is initially one-sided, and as a tumor grows, congestion increases. Vasoconstrictor drugs, as well as other activities to facilitate nasal breathing, do not bring effect. But My Canadian Pharmacy points out it is necessary to continue examination and treatment to relieve breathing.;
- Snoring and dry throat;
- Diminished hearing in one ear, rarely in both;
- Nosebleeds which occur spontaneously;
- Changes in the general analysis of blood – reducing the number of red blood cells.
All these symptoms are very similar to the manifestation of adenoids in children. That is why it is very important to conduct a differential diagnosis of these 2 medical conditions.
Fibroscopy or nasopharyngeal endoscopy. During this examination, the doctor with the help of a special device, the endoscope, can see the formation in the nasopharynx. Endoscopy allows you to see the surface of the formation, the presence of blood vessels in the formation and the presence or absence of inflammation. X-ray, unfortunately, cannot give such information. Only on the radiological image, you can determine whether there is a formation in the nasopharynx and its size. It is almost impossible to use x-ray for differential diagnosis.
Biopsy of the tissue. This diagnostic method is used if the child has suggested angiofibroma. The doctor, with the help of special tweezers, takes a small piece of tissue from the neoplasm surface and assesses it with a microscope. It is possible to confirm or deny the diagnosis with complete confidence after the microscopic examination of a piece of tissue on a cellular composition.
Why is nasopharyngeal angiofibroma dangerous?
By its origin, the tumor is benign but in very rare cases it can turn into a malignant form. But its growth is very rapid. The rapid growth of such a formation leads to damage to the tissues adjacent to the nasopharynx and even provokes the bones destruction. So the growth of a tumor can lead to long and abundant nosebleeds, which often recur, asymmetry of the face, impaired vision. That is why it is important to identify this formation in time and begin treatment.
Treatment of angiofibroma nasopharynx
Treatment of nasopharyngeal angiofibroma is surgical. The severity of the operation depends on the disease’ stage. With a large increase in angiofibroma, doctors may need to conduct special preparation of the child before surgery to minimize the risk of bleeding.