幼年性鼻咽部血管纖維瘤為一良性血管腫瘤,好發於青春期之男性,其治療原則以合併動脈栓塞和手術為主,手術途徑一般採經顏面或口腔。本篇提出兩病例報告,1例為經染色體證實之女性患;另1例之治療方式則為新的嘗試,在動脈血管栓塞後,以經鼻腔之內視鏡手術方式順利將腫瘤摘除,且術後沒有類似傳統成法之早期或晚期合併症。
Juvenile nasopharyngeal angiofibroma is a benign but aggressively expansile lesion, exclusively happens to prepubescent or pubescent males. It represents about 0.05% of head and neck tumors. Selective arterial embolization followed by surgical excision is the choice of treatment. The previously documented routes to remove nasopharyngeal angiofibroma included lateral rhinotomy, transpalatal, sublabial degloving, transzygomatic or any combination of these technical approaches. This article reports two cases of juvenile nasopharyngeal angiofibroma. One is a rare female case with sex chromosome proof. The other is successfully treated by using transnasal endoscopic approach; the operation time and blood loss are acceptable and there is no any minor sequel, such as unsightly facial wound, lacrimal apparatus injury, or rhinolalia aperta.