Extranasopharyngeal Angiofibroma: A Diagnostic Dilemma

• Main Authors: Nitin Gupta, Arjun Dass, Vaibhav Saini, Shashikant Anil Pol, Lovekesh Mittal
• Format: Article
• Language: English
• Published: Philippine Society of Otolaryngology-Head and Neck Surgery, Inc. 2018-07-01
• Series: Philippine Journal of Otolaryngology Head and Neck Surgery
• Subjects: angiofibroma; classification; diagnosis; diagnostic imaging; extranasopharyngeal
• Online Access: https://pjohns.pso-hns.org/index.php/pjohns/article/view/31

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