Recurrent Juvenile Nasopharyngeal Angiofibroma: Two Cases Emphasizing the Role of Follow-Up and Staging in Surgical Planning.
Mukhammadbektosh Khaydarov, Murod Khudayorov, Khusniddin Nazarov et al.
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Case in brief
Two cases of recurrent juvenile nasopharyngeal angiofibroma (JNA) in adolescent males are presented. The first case involved a 21-year-old with a history of incomplete resection and poor follow-up, presenting with advanced disease. The second case was an 18-year-old misdiagnosed with a nasal polyp, who experienced recurrence shortly after surgery. Both underwent successful preoperative embolization and endoscopic resection, with no residual disease noted on follow-up MRI.
Diagnostic / clinical pearl
Accurate initial diagnosis and proper staging are crucial in managing juvenile nasopharyngeal angiofibroma to minimize recurrence risk.
Why it matters
These cases highlight the importance of structured postoperative surveillance and multidisciplinary care in managing JNA, particularly in settings with limited resources.