Open AccessExtranasopharyngeal Angiofibroma: A Diagnostic Dilemma
Author(s) -
Nitin Gupta,
Arjun Dass,
Vaibhav Saini,
Shashikant Anil Pol,
Lovekesh Mittal
Publication year - 2018
Publication title -
philippine journal of otolaryngology head and neck surgery (on-line)
Language(s) - English
Resource type - Journals
ISSN - 2094-1501
DOI - 10.32412/pjohns.v33i1.31
Subject(s) - angiofibroma , medicine , dysphagia , stridor , radiology , physical examination , computed tomography , medical imaging , surgery , airway
Objective: To report two cases of extranasopharyngeal angiofibroma, highlighting the diagnostic challenges involved.
Methods:
Design: Case Report
Setting: Tertiary Teaching Hospital and Medical School
Patients: Two (2)
Results: A 13-year-old boy who presented with epistaxis and a vascular mass on the posterior nasal septum that enhanced on contrast-enhanced computed tomography (CECT), and a 3-year-old boy who presented with dysphagia and mild respiratory difficulty, with a large naso-oropharyngeal mass arising from the soft palate on physical and x-ray examination that could not be corroborated because stridor developed during sedation for CECT, both underwent endoscopic tumor excision.
Conclusion: As illustrated in these cases, atypical presentations of extranasopharyngeal angiofibromas can pose a considerable diagnostic and surgical challenge for clinicians.
Key words: angiofibroma: classification; diagnosis; diagnostic imaging; extranasopharyngeal