Juvenile Nasopharyngeal Angiofibromaenparentshttps://kidshealth.org/EN/images/headers/KH_generic_header_05_2.jpgA juvenile nasopharyngeal angiofibroma is a growth in the area behind the nose. They're benign but can damage nerves and bones and block ear and sinus drainage. Almost all JNAs are in teenage boys.juvenile nasopharyngeal angiofibroma, angiofibroma, growths, benign, masses, growth behind nose, ENT, endoscope, otolaryngology, endoscopy, runny nose, bloody nose, 07/09/201907/11/201907/11/2019William J. Parkes, IV, MD07/01/2019df1990a4-cc82-4270-b2d4-08ba4a83c0d7https://kidshealth.org/ws/RadyChildrens/en/parents/juvenile-asopharyngeal-angiofibroma.html/<h3>What Is a Juvenile Nasopharyngeal Angiofibroma?</h3> <p>A juvenile nasopharyngeal angiofibroma (JNA) is a growth in the area behind the nose. These growths are benign (not cancer), but can damage nerves and bones and block ear and sinus drainage. Almost all JNAs are in teenage boys.</p> <h3>What Are the Signs &amp; Symptoms of a Juvenile Nasopharyngeal Angiofibroma?</h3> <p>Juvenile nasopharyngeal angiofibromas cause symptoms only when they're big enough to keep air from passing through the nose or press on parts of the nose and sinuses.</p> <p>A child with a JNA may have:</p> <ul> <li>trouble breathing through the nose</li> <li>a lot of <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/nose-bleed.html/">nosebleeds</a>, often with blood coming from only one side</li> <li>a runny nose that doesn't go away after several days</li> </ul> <p>As the growth gets bigger, a child also may have:</p> <ul> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/headache.html/">headaches</a></li> <li>pain in the upper areas of the face (sinus pain)</li> <li>swelling in the cheeks, mouth, or face</li> <li>trouble smelling odors</li> <li>trouble hearing</li> </ul> <h3>What Causes a Juvenile Nasopharyngeal Angiofibroma?</h3> <p>Doctors don't know for sure what causes a juvenile nasopharyngeal angiofibroma (nay-zoe-fuh-RIN-jee-uhl an-jee-oh-fye-BROH-muh). But many think the cells that form the growths are left over from early pregnancy.</p> <h3>How Is a Juvenile Nasopharyngeal Angiofibroma Diagnosed?</h3> <p>Doctors will ask a child about JNA symptoms, such as trouble breathing through the nose, and do an exam. Sometimes the doctor can see the growth when looking in the nose or mouth. But most are only visible when the doctor uses a tiny camera (endoscope) to check inside the nose.</p> <p>The doctor will send the child to an ear, nose and throat (ENT, also called otolaryngology) specialist for diagnosis and treatment.</p> <p>Many kinds of masses can grow behind the nose. So the ENT doctor will do the endoscopy and other tests such as:</p> <ul> <li><a href="https://kidshealth.org/ws/RadyChildrens/en/parents/mri.html/">MRI</a> (magnetic resonance imaging)</li> <li>CT or <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/ct-head.html/">CAT scan</a> (computerized tomography)</li> <li>X-rays that show blood vessels in and around the tumor (angiography)</li> <li>sometimes, a <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/biopsy.html/">biopsy</a> (taking a sample of the growth for testing)</li> </ul> <h3>How Is a Juvenile Nasopharyngeal Angiofibroma Treated?</h3> <p>A juvenile nasopharyngeal angiofibroma may be hard to treat if it grows into the bone separating the back of the nose from the brain and into the sinuses or eye sockets (orbits).</p> <p>A team of specialists works together to treat the tumor. The team may include experts in:</p> <ul> <li>blood diseases and cancer (hematology/oncology)</li> <li>brain and nerve surgery (neurosurgery)</li> <li>ear, nose, and throat (ENT) surgery (otolaryngology)</li> <li>eye surgery (ophthalmology)</li> <li>image-guided treatment (<a href="https://kidshealth.org/ws/RadyChildrens/en/parents/intvnl-radiology.html/">interventional radiology</a>)</li> <li>microscopic study of tissue samples (pathology)</li> </ul> <p>Surgery is usually the first choice for treatment. Sometimes, image-guided treatment is recommended before surgery to shrink the growth and decrease bleeding during surgery. In most cases, surgery is done <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/endoscopic.html/">without any external incisions</a>, using a camera on a thin tube passed into the nose (<strong>endoscopic surgery</strong>).</p> <h3>What Else Should I Know?</h3> <p>Surgeons might not be able to remove all of a juvenile nasopharyngeal angiofibroma that's grown into the sinuses or the bones in the back of the nose. If this happens, the JNA might grow back after surgery. Sometimes doctors use&nbsp;<a href="https://kidshealth.org/ws/RadyChildrens/en/parents/radiation.html/">radiation therapy</a> or medicine to slow this growth.</p> <p>A JNA may grow well into adulthood, so patients need to have imaging studies (CT or MRI) repeated over time to look for regrowth. Patients will need follow-up with the care team specialists into early adulthood.</p> <p>JNAs are almost always found in teenage boys, so scientists are looking for ways to treat the growths with <a href="https://kidshealth.org/ws/RadyChildrens/en/parents/hormones.html/">hormones</a>, hormone blockers, or other medicines.</p>Angiofibroma nasofaríngeo juvenilLos angiofibromas nasofaríngeos juveniles son tumores que se desarrollan en la zona que hay detrás de la nariz. Estos tumores son benignos (no cancerosos), pero pueden dañar los nervios y los huesos, taponar los oídos y obstruir los senos nasales.https://kidshealth.org/ws/RadyChildrens/es/parents/juvenile-asopharyngeal-angiofibroma-esp.html/19b48275-b8b8-421d-a874-f53429be7705
CAT Scan: HeadA head CAT scan is a painless test that uses a special X-ray machine to take pictures of a patient's brain, skull, and sinuses, as well as blood vessels in the head. It might be done to check for any number of conditions.https://kidshealth.org/ws/RadyChildrens/en/parents/ct-head.html/60a95789-3c39-4223-870e-3ebf4a3efdb4
CholesteatomaA cholesteatoma is a growth behind the eardrum that can damage the bones of the middle ear. Treating it can help prevent hearing loss.https://kidshealth.org/ws/RadyChildrens/en/parents/cholesteatoma.html/b0f3a67e-9658-42a5-8be8-81b474cd453d
Craniopharyngioma A craniopharyngioma is a rare type of benign brain tumor. Most people treated for a craniopharyngioma are cured.https://kidshealth.org/ws/RadyChildrens/en/parents/craniopharyngioma.html/243572c1-c8fe-4edf-b9b4-966ecea99981
Magnetic Resonance Imaging (MRI)Magnetic resonance imaging (MRI) is a safe and painless test that uses a magnetic field and radio waves to produce detailed pictures of the body's organs and structures.https://kidshealth.org/ws/RadyChildrens/en/parents/mri.html/90abcf12-963c-4847-be8d-979b06ecdbca
Minimally Invasive SurgeryMinimally invasive surgery is a type of procedure done without the use of a large incision (cut).https://kidshealth.org/ws/RadyChildrens/en/parents/endoscopic.html/f82196ab-9f52-4d89-872c-dbfdcefed5d5
NosebleedsA nosebleed can be scary, but it's rarely cause for alarm. Here's how to handle one at home.https://kidshealth.org/ws/RadyChildrens/en/parents/nose-bleed.html/3451cda7-8916-456b-8a6a-135fe41e717a
Radiation TherapyRadiation therapy, also called radiotherapy, irradiation, or X-ray therapy, is one of the most common forms of cancer treatment.https://kidshealth.org/ws/RadyChildrens/en/parents/radiation.html/b9df7e63-811c-454a-b467-44a28efb1250
What Is Interventional Radiology (IR)?Interventional radiology (IR) is a way for doctors to treat problems like vascular anomalies and tumors.https://kidshealth.org/ws/RadyChildrens/en/parents/intvnl-radiology.html/fd207990-831e-4754-b2b8-1cc6d5cd7829
kh:age-allAgesOrAgeAgnostickh:clinicalDesignation-endocrinologykh:clinicalDesignation-otolaryngologyEarNoseThroatkh:genre-articlekh:primaryClinicalDesignation-otolaryngologyEarNoseThroatEndocrine Glands, Growth & Diabeteshttps://kidshealth.org/ws/RadyChildrens/en/parents/medical/endocrine/587da900-34e2-43e7-a2a4-5a4ed4bc7781Ears, Nose, Throat/Speech & Hearinghttps://kidshealth.org/ws/RadyChildrens/en/parents/medical/ears/8749295b-10fa-4ce8-91f9-befbe3b41833