Nose and throat fibroids

Nose and throat fibroids's disease overview

nasopharyngeal vascular fibroids (Juvenile Nasopharyngeal Angiofibroma - JNA) or nasopharyngeal fibroids are a benign, arising and development tumor in the region The back door and nose arch. Despite being a benign tumor, the tumor has the ability to spread very wide, destroying strong bones, which can spread into the intracranial, which makes the patient's life dangerous if not detected and treated promptly. The tumor is essentially an increase in blood vessels, the surrounding fibrous organization forms blood lakes so it is easy to cause a lot of bleeding. At the same time, the fibroids stick to the nose and throat's skull and spleen into the surrounding structures, creating many firm legs, many lobes, many stems, making it difficult for the surgery to remove the tumor, increasing The risk of severe bleeding when conducting surgery to remove U

Common disease in men in teenagers. Previously, people with fibroids of the nose and throat were described with a terrible face like a balloon protruding from the eye sockets, the nose expanded, her cheeks were puffed like a pebble. Today we no longer see such severity because the disease has been detected earlier. Patients with nasopharyngeal fibroids often come to the hospital because of the signs of bright red nose bleeding, recurrence of batches, initially holding itself, later more and more bleeding and more difficult to stop bleeding.

Causes of Nose and throat fibroids's disease

Nasal cane fibroids are a common disease in puberty, common in men, ages 15-25. The exact cause of this pathology so far has not been known correctly and has many assumptions have been given to explain the cause of the disease:

  • The development of nasopharyngeal fibroids related to endocrine in puberty. The tumor comes from a tissue with a gender corticosteroid hormone at the inner end of the nose cartilage. This explains why the fibroids of the nose and throat are very rare after adulthood.
  • Some other hypotheses suggest that the tumor formed from cartilage at the embryo of the bone fragment; or think that tumors come from branch cells that do not like the chrome of the inner jaw artery; Due to the core chemical disorders of the skull bone; Due to the stimulation of the root (bone membrane) of the skull by chronic VA ...
  • Symptoms of Nose and throat fibroids's disease

  • The disease is silently evolved with the increasing stuffy nose. In the late stage, the enlarged tumor can fill the nose cavity on both sides causing stuffy nose on both sides.
  • Nose, continuous and gradually increasing, nasal cavity 2 sides wet and full of mucus.
  • Sometimes patients have nosebleeds, at first capable of holding themselves, after having to have intervention of new medical facilities to stop nose blood. Accompanied by that, the patient also shows signs of tinnitus and hearing poorly due to the tumor pinching the ear loudspeaker area. Patients are often thin, pale, tired due to prolonged blood loss and respiratory difficulties due to nasal obstruction.
  • Examination of the nasal cavity to see a pale pink tumor, lying on the back of the nasal door, when the growth is large, fill the nose cavity, the push tumor narrows the nose cavity on the opposite side, but not damage the nasal mucosa. The voice is also changed (nose voice)
  • About 25% of cases of headache accompanied by sinus holes (jaw sinuses, butterflies in the skull) are clogged with tumors or bacterial infections.
  • In addition, there are other symptoms such as: reducing the smell or losing the sense of sense, pain on one side, the soft, the soft, convex eye, jaw ...
  • Complications of nasopharyngeal fibroids
  • nasopharyngeal fibroids if not detected and treated promptly. Drought, penetrate the nasal cavity, into the sinus, butterfly sinus, into the eye sockets, pushing the eyeball forward. It will also cause the jaw collapse, eliminate the upper jaw bone and swell under the skin. The tumor can also destroy the butterfly sinus, causing the bone fragment and the intracranial. The development of the intracranial may start early but usually only diagnosed with complications of increased intracranial pressure. The tumor can also be pinched on the nerve, causing blindness, causing difficulty swallowing, not smelling ... Patients with untreated nasopharyngeal fibroids will die from complications of bleeding and/or turbocharger Skull force.

  • The younger the patient, the faster the disease will act (2 years) and the worse the disease prognosis. If the patient is over 25 years old, there is hope that the disease will be stable or can retreat.
  • In addition, the disease can cause complications of infection, chronic anemia (at the late stage of the disease) due to recurrent bleeding; The tumor spreads into the blindness (due to the insertion of nervous), unable to swallow (paralysis of the nerves IX, X, XI), loss of smell because of the number 1 nerve damage; A lot of headaches due to increased intracranial pressure ...
  • Prevention of Nose and throat fibroids's disease

    The disease has no specific method of preventing disease, mainly people need to pay attention to their health status, detect abnormal signs to seek medical attention and early diagnosis will help treat ( Surgery) The disease becomes easier and more thorough, less risk of complications.

    Diagnostic measures for Nose and throat fibroids's disease

    Diagnosis of nasopharyngeal fibroids must be clinically based on the clinical.

  • Epidemiology: The disease is usually in the age of 15-25.
  • Clinically: The long nose is usually on one side accompanied by spontaneous nose bleeding. The disease progressed quite silently for a long time. After that, when the tumor spreads, it can cause nose bleeding many times, a large number of emergency care, accompanied by pain in the face, nose, cheek, skull, or deformed face.

    Examination of Ear Nose Throats see pink tumors, appearing at the back door of the patient:

  • First nose: The tumor can fill the nasal cavities or only occupy a back or nasal floor, smooth as nasal polyps, but tension, white and firm density than polyps .
  • The following nose screening: tumor encroaching on the back of the nose or spreading into the nose and throat arches, covering a part or both the back nostrils. When too big can cover the Eustachi hose and push the bulging maid.
  • Touch the arch with a finger, see the density of tumor firm, or have bloody fingertips.
  • Clinical:

  • Parentical comparative tomography helps to evaluate the spread of tumors and cause blood vessel blockage for tumors before surgery. Films only help assess the extent of spreading, not to help assess the nature of tumors
  • Biopsy is anatomical anatomy for determinant diagnosis. However, because the tumor is easy to bleed
  • Nose and throat fibroids's disease treatments

    Surgery is the main treatment for nasopharyngeal fibroids:

  • If detected early, the endoscopic surgery can be removed. This sugar surgery has the advantage of leaving no nasal scars like surgery with large tumors. It is possible to coordinate with vascular intervention to clog blood vessels to raise tumors before surgery, facilitating surgery and limiting bleeding.
  • In case the tumor is too large, no longer specifies the surgery that can be indicated in a hormone that helps to shrink the tumor.

    Complications of treatment include: loss of blood during surgery, tumor recurrence due to not removing all stems; Complications due to anesthesia process (such as anesthetic poisoning, anesthetic ...); Complications of circuit intervention (eg blindness due to arterial false button ...) ...

    See also:

  • Nostalgia cancer: Causes, symptoms, diagnosis and treatment
  • nasal polyps: Causes, symptoms, diagnosis and treatment
  • Nasomy carcinoma: Causes, symptoms, diagnosis and treatment
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