Abstract
Introduction: The surgical management of juvenile nasopharyngeal angiofibromas (JNA) is well described; however, the exact role and time course of postoperative surveillance and imaging remains unknown. With reported recurrence rates of upwards of 50% in some cases, the need for post-operative imaging following surgical resection of JNA is relevant. It has been hypothesized in the literature that a surge in hormones during puberty may induce growth of residual tumor. However, the natural growth rate of this rare tumor in the postoperative setting remains unknown. The goal of this study is to examine the postoperative growth rate of residual disease in a large series of patients relative to pediatric growth parameters and other prognostic factors, and to establish an algorithm for postoperative surveillance.
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