Nasopharyngeal angiofibroma

✍ Scribed by Nancy L. Snyderman; Richard J. H. Smith; Bruce Gantz; Dr. Allan B. Seid; Dr. Randal S. Weber

• Publisher: John Wiley and Sons
• Year: 1992
• Tongue: English
• Weight: 398 KB
• Volume: 14
• Category: Article
• ISSN: 1043-3074
• DOI: 10.1002/hed.2880140115

✦ Synopsis

Few tumors have such classic clinical and radiographic signs as the juvenile nasopharyngeal angiofibroma. What could possibly be controversial about treating one? Plenty. Today, with newer imaging studies and sophisticated ways to approach the skull base, the options leave plenty of room for discussion.

A 16-year-old boy presents with a 6-month history of intermittent bleeding from the left nares. On 2 occasions the epistaxis has required a posterior nasal pack for hemostasis. In addition to the epistaxis, this boy has complained of postnasal drainage, headaches, rhinorrhea, and recent ptosis of the left eyelid. When a mass wsa noted 6 months after the onset of the bleeding, he was referred to the local medical center for further evaluation. A CT scan and gadoliniumenhanced MRI were obtained (Figure 1).