Learn About Juvenile Angiofibroma

What is the definition of Juvenile Angiofibroma?

Juvenile angiofibroma is a noncancerous growth that causes bleeding in the nose and sinuses. It is most often seen in boys and young adult men.

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What are the alternative names for Juvenile Angiofibroma?

Nasal tumor; Angiofibroma - juvenile; Benign nasal tumor; Juvenile nasal angiofibroma; JNA

What are the causes of Juvenile Angiofibroma?

Juvenile angiofibroma is not very common. It is most often found in adolescent boys. The tumor contains many blood vessels and spreads within the area in which it started (locally invasive). This can cause bone damage.

What are the symptoms of Juvenile Angiofibroma?

Symptoms include:

  • Difficulty breathing through the nose
  • Easy bruising
  • Frequent or repeated nosebleeds
  • Headache
  • Swelling of the cheek
  • Hearing loss
  • Nasal discharge, usually bloody
  • Prolonged bleeding
  • Stuffy nose
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What are the current treatments for Juvenile Angiofibroma?

You will need treatment if the angiofibroma is growing larger, blocking the airways, or causing repeated nosebleeds. In some cases, no treatment is needed.

Surgery may be needed to remove the tumor. The tumor may be hard to remove if it is not enclosed and has spread to other areas. Newer surgery techniques that place a camera up through the nose have made tumor removal surgery less invasive.

A procedure called embolization may be done to prevent the tumor from bleeding. The procedure may correct the nosebleeds by itself, but it is most often followed by surgery to remove the tumor.

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What is the outlook (prognosis) for Juvenile Angiofibroma?

Although not cancerous, angiofibromas may continue to grow. Some may disappear on their own.

It is common for the tumor to return after surgery.

What are the possible complications of Juvenile Angiofibroma?

Complications may include:

  • Anemia
  • Pressure on the brain (rare)
  • Spread of the tumor to the nose, sinuses, and other structures
When should I contact a medical professional for Juvenile Angiofibroma?

Contact your provider if you often have:

  • Nosebleeds
  • One-sided nasal blockage
How do I prevent Juvenile Angiofibroma?

There is no known way to prevent this condition.

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What are the Latest Advances for Juvenile Angiofibroma?

There is no recent research available for this condition. Please check back because thousands of new papers are published every week and we strive to find and display the most recent relevant research as soon as it is available.

Who are the sources who wrote this article ?

Published Date: August 31, 2021
Published By: Josef Shargorodsky, MD, MPH, Johns Hopkins University School of Medicine, Baltimore, MD. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

What are the references for this article ?

Chu WCW, Epelman M, Lee EY. Neoplasia. In: Coley BD, ed. Caffey's Pediatric Diagnostic Imaging. 13th ed. Philadelphia, PA: Elsevier; 2019:chap 55.

Haddad J, Dodhia SN. Acquired disorders of the nose. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Textbook of Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020:chap 405.

Nicolai P, Mattavelli D, Castelnuovo P. Benign tumors of the sinonasal tract. In: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Head and Neck Surgery. 7th ed. Philadelphia, PA: Elsevier; 2021:chap 50.

Snyderman CH, Pant H, Gardner PA. Juvenile angiofibroma. In: Meyers EN, Snyderman CH, eds. Operative Otolaryngology: Head and Neck Surgery. 3rd ed. Philadelphia, PA: Elsevier; 2018:chap 122.