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devem também ser propostas, tendo em conta a expe- 22. Bales C, Kotapka M, Loevner LA, et al. Craniofacial resection of advanced juvenile
riência da equipa cirúrgica do centro respectivo. Nos es- nasopharyngeal angiofibroma. Arch Otolaryngol Head Neck Surg. 2002;128:1071,-
1078.
tadios precoces deve-se optar por vias que impliquem 23. Dare AO, Gibbons KI, Proulx GM, Fenstermaker RA. Resection followed by
menos mutilação, nomeadamente a via endoscopica radiosurgery for advanced juvenile nasopharyngeal angiofibroma, report of two cases.
Neurosurgery. 2003:52:1207-1211,
transnasal. Nos estadias mais avançados deve-se esco- 24. Pryor SO, Moore EJ, Kasperbauer. Endoscopic versus traditional approaches for excision
lher as vias externas. of juvenile nasopharyngeal angiofibroma. Laryngoscope. 2005;115:1201-1207,
Mesmo havendo uma provável relação com maior
taxa de persistencia/ recidiva, deve-se realizar a emboli-
zação pré-operatória evitando desta forma complicações
intraoperatórias.

AGRADECIMENTOS
Agradecimentos à Dra Sara Baptista pelas sugestões
muito pertinentes na execução deste artigo.

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