Case 2: Nasopharyngeal Angiofibroma
A 24 year old male presented with complaint of left nasal
obstruction with history of
profuse epistaxis for 2 years. CT scan showed classical ‘Holman
Miller’ sign of forward bowing of the posterior maxillary wall and was
reported as an angiofibroma with extension towards the pterygopalatine
fossa.
The mass was removed by Weber-Ferguson approach.
|
Figure 1: Axial CT Scan of
Nasopharyngeal Angiofibroma
Click on Pictures to Enlarge
|
Figure 2: Axial CT Scan of
Nasopharyngeal Angiofibroma
Click on Pictures to Enlarge |
The
histopathological report showed vascular spaces of varying caliber lined
by endothelial cells, devoid of muscle layer separated by loose
fibrous tissue and proved the mass to be angiofibroma (see Figure 4).
This case was
especially challenging in view of
the need for complete removal despite its extension to
the sphenoid sinus
and poor direct access.
|
Figure 3: Surgical Specimen
Click on Pictures to Enlarge
|
Figure 4: Histological Appearance
Click on Pictures to Enlarge |
|
|
Figure 5: Post-Operative View
After Removal of Nasopharyngeal Angiofibroma by a
Weber-Ferguson Approach.
Click on Pictures to Enlarge
|
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World Articles in Ear, Nose and Throat
www.waent.org
Jan
27, 2012
Vol 5-1
Copyright WAENT 2012 All Rights Reserved
