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    • Vol. 38 No. 3 September 2005
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    Angiofibroma Nasofaring Belia

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    Date
    2009-07-10
    Author
    T. Siti Hajar H
    Hafni
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    Abstract
    Juvenile nasopharyngeal angiofibroma is a benign tumor that is rarely found, histologically benign, but clinically it is malignant. It is frequently found for puberty adolescene boy. The definitive cause of angiofibroma is unknown exactly, several theories mention that derivational site tissue of tumor growth and hormonal disorder. Nasal obstruction is the most frequent clinical symptom found (80 – 90%), besides epistaxis. From clinical examination found, there is a mass in nasopharynx. Diagnosis is established based on anamnesis, clinical examination and radiological examination. Surgery (mass removal) is the main choice in the therapy, besides radiotherapy, hormonal therapy and chemotherapy. Mass removal can be done with several approaches such as transpalatal, rhinotomy lateral, degloving, craniotomy. However the approaches which is done aim to maximalize the exposure and ease blood control so that there is no recurrence.
     
    Angiofibroma nasofaring belia merupakan suatu tumor jinak yang jarang ditemukan, secara histologi jinak, tetapi secara klinis ganas. Tumor ini sering dijumpai pada anak laki–laki remaja. Penyebab pasti dari angiofibroma tidak diketahui secara pasti, beberapa teori menyebutkan berdasarkan jaringan tempat asal tumbuh tumor dan adanya gangguan hormonal. Hidung tersumbat merupakan gejala klinis yang paling sering ditemukan (80 – 90%), selain epistaksis. Dari pemeriksaan klinis dijumpai adanya massa di nasofaring. Diagnosa ditegakkan berdasarkan anamnesis, pemeriksaan klinis dan pemeriksaan radiologi. Pembedahan (pengangkatan massa) merupakan pilihan utama dalam terapi, selan radioterapi, terapi hormonal dan kemoterapi. Pengangkatan massa dapat dilakukan dengan beberapa pendekatan seperti pendekatan transpalatal, rinotomi lateral, degloving, kraniotomi. Bagaimanapun pendekatan yang dilakukan bertujuan untuk memaksimalkan pemaparan dan memudahkan kontrol perdarahan agar tidak terjadi kekambuhan.
     
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    http://repository.usu.ac.id/handle/123456789/15580
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    • Vol. 38 No. 3 September 2005 [13]

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    Contact Us | Send Feedback
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