Juvenile nasopharyngeal angiofibroma| aetiology, diagnosis, treatment

Definition: Chronic non-specific rhinitis with hypertrophy of nasal mucosa especially that of the turbinates.

Aetiology (causes)

• Repeated acute rhinitis.
• Chronic sinusitis.
• Chronic irritation of nasal mucosa e.g., dust, allergy, or drugs.
  

Symptoms:

• Bilateral nasal obstruction.
• Bilateral mucoid discharge (anterior and postnasal).

Signs: 

• Hypertrophied nasal mucosa especially the inferior turbinate (doesn’t shrink with vasoconstrictors).
• Sticky mucopurulent discharge.

Treatment of Chronic hypertrophic rhinitis:

a. Treatment of the cause: e.g. allergy (give anti-histaminic).

b. Medical: 

Topical steroids.

c. Surgical: turbinate reduction surgery

• Submucosal diathermy.
• Partial turbinectomy.
• Laser turbinectomy, coblation, or shaver turbinate reduction.

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