TY - JOUR
T1 - Bilateral juvenile nasopharyngeal angiofibroma: A rare case report
AU - Adham, Marlinda
AU - Hajarani, Kartika
AU - Rachmadi, Lisnawati
AU - Suroyo, Indrati
PY - 2021/12/31
Y1 - 2021/12/31
N2 - Juvenile nasopharyngeal angiofibroma (JNA) is a benign, vascular, tumour primarily occuring in adolescent males. Juvenile nasopharyngeal angiofibroma is normally unilateral, originating from the sphenopalatine artery. Two separate masses arising from both sides are exceedingly rare. We report a case of a 29-year-old male presented with increasing nasal obstruction, recurrent epistaxis, and a mass on his left buccal. Computed tomography and magnetic resonance imaging revealed non-contiguous tumours on the right nasopharynx and on the left buccal. Angiography showed independent vascular supplies from each side with no bilateral supply noted. Preoperative embolization on both vascular supplies was done, followed by surgical removal of the tumours with no major complication. Histopathological examination showed both are JNA. No major complications were noted. This case discusses how suspecting bilateral juvenile angiofibroma in a patient with two non-contiguous masses in head and neck region is recommended. Proper diagnosis of bilateral JNA can lead to better management and results.
AB - Juvenile nasopharyngeal angiofibroma (JNA) is a benign, vascular, tumour primarily occuring in adolescent males. Juvenile nasopharyngeal angiofibroma is normally unilateral, originating from the sphenopalatine artery. Two separate masses arising from both sides are exceedingly rare. We report a case of a 29-year-old male presented with increasing nasal obstruction, recurrent epistaxis, and a mass on his left buccal. Computed tomography and magnetic resonance imaging revealed non-contiguous tumours on the right nasopharynx and on the left buccal. Angiography showed independent vascular supplies from each side with no bilateral supply noted. Preoperative embolization on both vascular supplies was done, followed by surgical removal of the tumours with no major complication. Histopathological examination showed both are JNA. No major complications were noted. This case discusses how suspecting bilateral juvenile angiofibroma in a patient with two non-contiguous masses in head and neck region is recommended. Proper diagnosis of bilateral JNA can lead to better management and results.
KW - Nasopharyngeal neoplasm
KW - angiofibroma
KW - bilateral
UR - https://www.tandfonline.com/doi/full/10.1080/23772484.2021.1914060
U2 - 10.1080/23772484.2021.1914060
DO - 10.1080/23772484.2021.1914060
M3 - Article
SN - 2377-2484
VL - 6
SP - 45
EP - 52
JO - Acta Oto-Laryngologica Case Reports
JF - Acta Oto-Laryngologica Case Reports
IS - 1
ER -