Endoscopic Angiofibroma Excision Treatment in Turkey
About Endoscopic Angiofibroma Excision
Key Highlights
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Minimally invasive approach with no external facial scars.Superior visualization of deep nasal and sinus anatomy using an endoscope.Typically results in reduced intraoperative blood loss, especially with preoperative embolization.Shorter hospital stay and faster recovery compared to traditional open procedures.Lower risk of complications like facial numbness or dental injury.High precision in tumor removal, potentially improving long-term outcomes and reducing recurrence rates./ul
Who is this surgery for?
- Diagnosis of Juvenile Nasopharyngeal Angiofibroma (JNA), a benign vascular tumor.
- Persistent and recurrent nosebleeds (epistaxis) not controlled by conservative measures.
- Nasal obstruction or difficulty breathing through the nose.
- Facial pain, pressure, or headaches.
- Proptosis (bulging of the eye) or visual changes due to tumor extension.
- Hearing loss or serous otitis media (fluid in the ear) caused by Eustachian tube blockage.
- Visible mass in the nasal cavity or nasopharynx identified on imaging (CT/MRI).
How to prepare
- Comprehensive diagnostic workup including nasal endoscopy and imaging (CT angiography, MRI) to map the tumor's size and blood supply.
- Preoperative embolization (a day or two before surgery) to block the tumor's main blood vessels, significantly reducing surgical bleeding.
- Complete blood count (CBC), coagulation profile, and other pre-anesthetic tests.
- Discussion of all medications; discontinuation of blood thinners (aspirin, warfarin, etc.) as advised by the surgeon.
- Fasting for 6-8 hours before the procedure as per anesthesia guidelines.
- Informed consent process detailing the procedure, goals, and potential risks.
Risks & possible complications
- Bleeding during or after surgery, which can sometimes be significant.
- Infection at the surgical site.
- Cerebrospinal fluid (CSF) leak if the tumor involves the skull base.
- Recurrence of the tumor, requiring further treatment.
- Injury to surrounding structures like nerves, leading to temporary or permanent numbness.
- Nasal crusting, dryness, or synechiae (adhesions) requiring postoperative debridement.
- Risks associated with general anesthesia.
- Persistent nasal obstruction or altered sense of smell.
Recovery & hospital stay
- Hospital stay typically lasts 1-3 days for monitoring and initial pain management.
- Nasal packing may be placed for 24-48 hours to control bleeding and support healing.
- Patients are advised to avoid strenuous activity, heavy lifting, and nose-blowing for 2-3 weeks.
- Saline nasal sprays or irrigations are used frequently to moisten the nasal passages and clear crusts.
- Follow-up endoscopic debridements in the clinic are common to remove crusts and monitor healing.
- Pain is usually manageable with prescribed medications and subsides within a week.
- A soft diet may be recommended initially if there is significant throat discomfort.
- Regular follow-up imaging (MRI) is scheduled to monitor for any recurrence.
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Typical hospital stay:
2-4 days
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Expected recovery time:
2-4 weeks for initial recovery; 6-8 weeks for full return to strenuous activities
Frequently Asked Questions
If you are considering endoscopic angiofibroma excision in Turkey, these questions and answers can help you make a confident, informed decision.
Top-rated hospitals in Turkey with ent departments and experienced surgeons are ideal for this procedure. Use MediFyr to compare facilities, reviews, and doctor profiles before you decide.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform endoscopic angiofibroma excision. MediFyr helps you compare ent specialists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for endoscopic angiofibroma excision compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | USD 1,655 – USD 4,412 | 2-4 days | ~ 2-4 weeks for initial recovery; 6-8 weeks for full return to strenuous activities | Know More |
| Turkey | USD 12,293 – USD 32,782 | 2-4 days | ~ 2-4 weeks for initial recovery; 6-8 weeks for full return to strenuous activities | Know More |
James Das, a 16-year-old high school...
James Das, a 16-year-old high school soccer player from a close-knit family, had been struggling with persistent, worsening nosebleeds for nearly a year. Initially dismissed as a side effect of dry air or sports, the episodes became more frequent and severe, sometimes lasting 20 minutes. He also developed constant nasal congestion and a feeling of pressure in his face, which affected his sleep and athletic performance. After a particularly bad bleed during a game, his pediatrician referred him to an ENT specialist. A CT scan revealed a juvenile nasopharyngeal angiofibroma, a benign but vascular tumor. The ENT surgeon, Dr. Lee, explained that due to its size and location, an endoscopic excision was the best option to remove it completely while minimizing scarring and recovery time. James was terrified of surgery and worried it would end his soccer season. The procedure itself went smoothly; he was under general anesthesia and felt no pain. The post-op night was uncomfortable with nasal packing, but it was removed the next day. Recovery involved two weeks of rest, nasal saline rinses, and avoiding strenuous activity. Within a month, he was back to light training, and the nosebleeds were completely gone. Emotionally, James transformed from an anxious, fatigued teenager hiding his condition to a relieved and confident young man, grateful to have his health and his sport back.
ENT Specialists for Endoscopic Angiofibroma Excision
Explore experienced ent specialists who regularly perform endoscopic angiofibroma excision and provide pre- and post-operative care in Turkey.
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