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L\'angiofibrome nasopharyngien (FNP) est une tumeur vasculaire benigne localement agressive. Il represente 0,05% des tumeurs de la tete et du cou et touche presque exclusivement les adolescents de sexe masculin. La chirurgie est considereecomme le traitement principal du FNP, les autres modalites therapeutiques tels que radiotherapie et chimiotherapie sont indiquees en cas d\'extension intracrânienne avec envahissement du sinus caverneux ou de la carotide interne. Nous rapportons une observation rare de FNP, complique d\'un syndrome de Foster Kennedy chez une femme de 34 ans. Le traitement a consiste en une chimiotherapie (adriamycine, decarbazine) suivie d\'une radiotherapie. Nous discutons de l\'interet et des resultats de la chimiotherapie dans le traitement des FNP avec une importante extension intracrânienne (stade III B de la classification de Radkowski). Nasopharyngeal angiofibroma is a locally aggressive, although histologically benign, vascular neoplasm. This neoplasm accounts for 0.05% of the head and neck tumours and affects almost exclusively male adolescents. Surgery is considered as the primary treatment of nasopharyngeal angiofibroma. Other treatment modalities such as radiotherapy and chemotherapy are still recommended for intracranial extension involving the cavernous sinus or the internal carotid artery. We report a rare case of nasopharyngeal angiofibroma, further complicated with a Foster Kennedy syndrome in a 34- years-old woman. The treatment consisted in a chemotherapy (adriamycine, decarbazine) followed by radiotherapy. We discuss the relevance and the outcome of chemotherapy in the treatment of the nasopharyngeal angiofibromas with a consistent intracranial extension (stage III B of Radkowski\'s classification). Journal Tunisien d\'ORL et de chirurgie cervico-faciale Vol. 16 2006: pp. 46-49

Angiofibrome Nasopharyngien Compliqué D\'un Syndrome De Foster Kennedy : Place De La Chimiothérapie