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Professional /
Pediatrics /
Miscellaneous Ear, Nose, and Throat Disorders in Children /
... /
Juvenile Angiofibromas /
IN THIS TOPIC

Symptoms and Signs

Diagnosis

Treatment

OTHER TOPICS IN THIS CHAPTER

Miscellaneous Ear, Nose, and Throat Disorders in Children
Hearing Impairment in Children
Juvenile Angiofibromas
Recurrent Respiratory Papillomatosis
Communication Disorders in Children

ADDITIONAL CONTENT

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Neonatal Herpes Simplex Virus (HSV) Infection
Neonatal herpes simplex virus (HSV) infection has a high morbidity and mortality rate. The usual presenting symptom in neonates is a vesicular eruption that appears between the 1st and 3rd week of life. There are several ways in which this disease is transmitted to the neonate. Of these modes of transmission, which of the following is the most common? 
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More Content

Juvenile Angiofibromas

By

Udayan K. Shah

, MD, Sidney Kimmel Medical College at Thomas Jefferson University

Last full review/revision Sep 2020| Content last modified Sep 2020
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Juvenile angiofibromas are rare and benign and can develop in the nasopharynx. Diagnosis is with imaging. Treatment is excision.

Juvenile angiofibromas are most common among adolescent boys. They are vascular and grow slowly. They can spread into the orbits or cranial vault or recur after treatment.

Symptoms and Signs

Common symptoms of juvenile angiofibromas include nasal obstruction and epistaxis (sometimes severe, usually unilateral). The tumor may cause facial swelling, eye bulging, or nasal disfigurement or mass.

Diagnosis

  • CT and MRI

Diagnosis of juvenile angiofibromas usually requires CT and MRI.

Angiography is often done so that the tumor vessels can be embolized before surgery.

Because incising the tumor may cause severe bleeding, incisional biopsy is avoided.

Treatment

  • Excision and sometimes radiation therapy

Treatment of juvenile angiofibromas is excision. Radiation therapy is sometimes used adjunctively, particularly if complete excision is difficult or impossible or if the tumor recurs.

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© 2020 Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc., Kenilworth, NJ, USA)
Hearing Impairment in Children
Recurrent Respiratory Papillomatosis

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