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Bilateral, independent juvenile nasopharyngeal angiofibroma: case report

Published online by Cambridge University Press:  28 August 2015

M-L Mørkenborg ,
M Frendø ,
T Stavngaard  and
C Von Buchwald
M-L Mørkenborg*
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery and Audiology, Copenhagen University Hospital Rigshospitalet, Denmark
M Frendø
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery and Audiology, Copenhagen University Hospital Rigshospitalet, Denmark
T Stavngaard
Affiliation:
Department of Neuroradiology, Copenhagen University Hospital Rigshospitalet, Denmark
C Von Buchwald
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery and Audiology, Copenhagen University Hospital Rigshospitalet, Denmark
*
Address for correspondence: Dr Marie-Louise Mørkenborg, Department of Otorhinolaryngology, Head and Neck Surgery and Audiology, Copenhagen University Hospital Rigshospitalet, DenmarkE-mail:ml.morkenborg@gmail.com
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Abstract

Background:

Juvenile nasopharyngeal angiofibroma is a benign, vascular tumour that primarily occurs in adolescent males. Despite its benign nature, aggressive growth patterns can cause potential life-threatening complications. Juvenile nasopharyngeal angiofibroma is normally unilateral, originating from the sphenopalatine artery, but bilateral symptoms can occur if a large tumour extends to the contralateral side of the nasopharynx. This paper presents the first reported case of true bilateral extensive juvenile nasopharyngeal angiofibroma involving clinically challenging pre-surgical planning and surgical strategy.

Case report:

A 21-year-old male presented with increasing bilateral nasal obstruction and discharge. Examination revealed tumours bilaterally and imaging demonstrated non-contiguous tumours. Pre-operative angiography showed strictly ipsilateral vascular supplies requiring bilateral embolisation. Radical removal performed as one-step, computer-assisted functional endoscopic sinus surgery was performed. The follow-up period was uncomplicated.

Conclusion:

This case illustrates the importance of suspecting bilateral juvenile nasopharyngeal angiofibroma in patients presenting with bilateral symptoms. Our management, including successful pre-operative planning, enabled one-step total removal of both tumours and rapid patient recovery.

Keywords

Bilateral Nasal ObstructionNasopharynxNasopharyngeal NeoplasmsAngiofibromaHead And Neck NeoplasmsTherapeutic Embolization
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 10 , October 2015 , pp. 1032 - 1035
Copyright
Copyright © JLO (1984) Limited 2015 

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