Juvenile angiofibromas, most commonly found in adolescent males, are vascular lesions that occur in the nasopharynx and extend into other areas of the skull. Presenting signs and symptoms include epistaxis, nasal obstruction and nasal drainage. Computed tomography and magnetic resonance imaging are the primary diagnostic tests. Angiography is used for vascular mapping and preoperative embolization. Total surgical resection is the goal of treatment. Nursing care includes developmental considerations with a focus on comfort, neurological assessment and patient and family education.
Questions or comments about this article may be directed to Susan B. Fowler, RN, MS, CCRN, CNRN, CS, Robert Wood Johnson University Hospital, One Robert Wood Johnson Place, New Brunswick, New Jersey 08901. She is a staff nurse in SICU and former neuroscience clinical nurse specialist.
Irwin A. Keller, MD, ABR, ASNR, is an assistant clinical professor of radiology at University of Medicine and Dentistry of New Jersey, New Brunswick, Robert Wood Johnson University Hospital.
© 1993 American Association of Neuroscience Nurses