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Original Research
Online Published: 07 Feb 2016
 


Endoscopic removal of juvenile nasopharyngeal angiofibroma: conventional versus coblation-assisted

Salina Husain, Izham Mesran, Syed Zaifullah, Balwant Singh Gendeh, Mohd Razif Yunos.


Abstract
Objective: To review the outcomes of endoscopic removal of juvenile nasopharyngeal angiofibroma (JNA) with or without coblation.
Methodology: This is a retrospective study of 10 patients who underwent endoscopic removal of JNA from January 2004 to November 2014 at the Otorhinolaryngology-Head Neck Surgery, Universiti Kebangsaan Malaysia Medical Center.
Results: Five patients had Stage I, 3 patients with Stage II and another 2 patients with Stage IIIa tumors. All patients were males with age range of 10-32 years. Majority of patients were in their 2nddecade of life. All underwent endoscopic removal of the JNA within 24 hours post angiogram and embolization. Three patients were operated using coblator (Stage I, II and IIIa tumors) and 7 patients without coblation-assisted surgery (Stage I, II and IIIa). Endoscopic removal of tumor with coblation had a mean blood loss of 0.9 liter with no blood transfusion. The mean duration of hospital stay was 2 days. On the other hand, endoscopic removal of tumor without coblation-assisted had mean blood loss of 1.2 with mean blood transfusion of 1.2 pint. The mean hospital stay was 5.8 days.
Conclusion: Endoscopic approach in JNA resection is treatment of choice, as it provides less invasive nature, minimal morbidity and better visualization. In combination with coblation-assisted endoscopic JNA resection, this further decreased intraoperative hemorrhage and provided better resection of the tumor.

Key words: Angiofibroma, endoscopic, coblation


 
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How to Cite this Article
Pubmed Style

Husain S, Mesran I, Zaifullah S, Gendeh BS, Yunos MR. Endoscopic removal of juvenile nasopharyngeal angiofibroma: conventional versus coblation-assisted. RMJ. 2016; 41(1): 90-94.

Web Style

Husain S, Mesran I, Zaifullah S, Gendeh BS, Yunos MR. Endoscopic removal of juvenile nasopharyngeal angiofibroma: conventional versus coblation-assisted. https://www.rmj.org.pk/?mno=200740 [Access: October 29, 2025].

AMA (American Medical Association) Style

Husain S, Mesran I, Zaifullah S, Gendeh BS, Yunos MR. Endoscopic removal of juvenile nasopharyngeal angiofibroma: conventional versus coblation-assisted. RMJ. 2016; 41(1): 90-94.


Vancouver/ICMJE Style

Husain S, Mesran I, Zaifullah S, Gendeh BS, Yunos MR. Endoscopic removal of juvenile nasopharyngeal angiofibroma: conventional versus coblation-assisted. RMJ. (2016), [cited October 29, 2025]; 41(1): 90-94.


Harvard Style

Husain, S., Mesran, . I., Zaifullah, . S., Gendeh, . B. S. & Yunos, . M. R. (2016) Endoscopic removal of juvenile nasopharyngeal angiofibroma: conventional versus coblation-assisted. RMJ, 41 (1), 90-94.


Turabian Style

Husain, Salina, Izham Mesran, Syed Zaifullah, Balwant Singh Gendeh, and Mohd Razif Yunos. 2016. Endoscopic removal of juvenile nasopharyngeal angiofibroma: conventional versus coblation-assisted. Rawal Medical Journal, 41 (1), 90-94.


Chicago Style

Husain, Salina, Izham Mesran, Syed Zaifullah, Balwant Singh Gendeh, and Mohd Razif Yunos. "Endoscopic removal of juvenile nasopharyngeal angiofibroma: conventional versus coblation-assisted." Rawal Medical Journal 41 (2016), 90-94.


MLA (The Modern Language Association) Style

Husain, Salina, Izham Mesran, Syed Zaifullah, Balwant Singh Gendeh, and Mohd Razif Yunos. "Endoscopic removal of juvenile nasopharyngeal angiofibroma: conventional versus coblation-assisted." Rawal Medical Journal 41.1 (2016), 90-94. Print.


APA (American Psychological Association) Style

Husain, S., Mesran, . I., Zaifullah, . S., Gendeh, . B. S. & Yunos, . M. R. (2016) Endoscopic removal of juvenile nasopharyngeal angiofibroma: conventional versus coblation-assisted. Rawal Medical Journal, 41 (1), 90-94.


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