Juvenile nasopharyngeal angiofibroma surgery in Lima

Symptoms

• Nasal blockage on one side that gets worse over time.
• Repeated nosebleeds from the same side, sometimes heavy.
• Nasal discharge, nasal voice or mouth breathing.

Why the team matters

The tumor has many blood vessels and can bleed easily. A biopsy is usually not taken in the office, and the diagnosis is based on nasal endoscopy, CT and MRI.

Surgery is planned with interventional radiology and anesthesia, and with Neurosurgery when needed. Embolization is often done before surgery to reduce bleeding.

Treatment

Surgery is the main treatment. In many cases it is done endoscopically, through the nose and without cuts on the face. Very large tumors may need another approach. In selected cases, other treatments such as radiotherapy are considered.

The tumor can come back, especially in the first years, so follow-up with endoscopy and MRI continues after surgery.

Families abroad

You can start with a video call to review the scans and reports and plan the trip to Lima. The examination and surgery take place in person.

Bring the CT and MRI images (on a disc or a link) with their reports, and any previous reports.

Risks

Risks include bleeding, crusting and scarring inside the nose, infection and, depending on the size of the tumor, complications involving the eye or the skull base. In very extensive tumors it may not be possible to remove all of it. Each case is different, and the plan is discussed with the patient and the family.