Limits...
Juvenile Nasopharyngeal Angiofibroma: Case report with review on role of imaging in diagnosis.

Gupta S, Gupta S, Ghosh S, Narang P - Contemp Clin Dent (2015 Jan-Mar)

Bottom Line: It was supplied by the right external carotid artery.Patient was referred to the department of neurosurgery for further management.The diagnosis at an early stage is important because it is associated with high risk of morbidity, but advances in imaging, and surgical methods of treatment have changed the sites associated with high risk of morbidity.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral Medicine and Radiology, Maulana Azad Institute of Dental Science, New Delhi, India.

ABSTRACT
Juvenile nasopharyngeal angiofibroma is a locally aggressive benign vascular neoplasm, composed of vasogenic and myofibroblastic elements, accounts for 0.05-0.5% of all the head and neck neoplasms. There are very few case reports of nasopharyngeal angiofibroma involving the oral cavity; we report a case involving both the maxilla and mandible in a 17-year-old patient who reported with a large firm swelling on right side of face with recurrent epistaxis and headache. Magnetic resonance angiography revealed a large lobulated enhancing soft tissue mass, which was hypointense on T1-weighted image and heterogeneously hyperintense on T2-weighted image causing expansion of pterygopalatine fossa and sphenopalatine foramen with extension into the sphenoid sinus, ethmoid air cells, right nasal cavity, right infratemporal fossa and right maxillary sinus with remodeling of right zygomatic arch and part of body and ramus of mandible. It was supplied by the right external carotid artery. Patient was referred to the department of neurosurgery for further management. The diagnosis at an early stage is important because it is associated with high risk of morbidity, but advances in imaging, and surgical methods of treatment have changed the sites associated with high risk of morbidity.

No MeSH data available.


Related in: MedlinePlus

Extraoral photograph of the patient showing lobulated swelling on right side of face
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4319355&req=5

Figure 1: Extraoral photograph of the patient showing lobulated swelling on right side of face

Mentions: The medical history was not significant. Physical examination along with cranial nerve examination did not reveal any abnormality. Extraoral examination [Figure 1] was suggestive of a lobular swelling on the right side of the face extending from infraorbital margin to the lower border of mandible supero-inferiorly and from ala of nose and corner of the mouth to tragus of ear and ramus of mandible anteroposteriorly approximately 7 cm × 8 cm in size. The overlying skin was normal in color and texture. The swelling was smooth surfaced with well-defined margins and resilient in consistency. It was compressible, pulsatile, and tender on palpation. The swelling reduced in size on opening the mouth and on clenching, swelling became more prominent adjacent to ramus of mandible. The mouth opening was reduced with deviation toward right on opening. The right submandibular lymph nodes were found to be enlarged, tender and mobile on palpation.


Juvenile Nasopharyngeal Angiofibroma: Case report with review on role of imaging in diagnosis.

Gupta S, Gupta S, Ghosh S, Narang P - Contemp Clin Dent (2015 Jan-Mar)

Extraoral photograph of the patient showing lobulated swelling on right side of face
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4319355&req=5

Figure 1: Extraoral photograph of the patient showing lobulated swelling on right side of face
Mentions: The medical history was not significant. Physical examination along with cranial nerve examination did not reveal any abnormality. Extraoral examination [Figure 1] was suggestive of a lobular swelling on the right side of the face extending from infraorbital margin to the lower border of mandible supero-inferiorly and from ala of nose and corner of the mouth to tragus of ear and ramus of mandible anteroposteriorly approximately 7 cm × 8 cm in size. The overlying skin was normal in color and texture. The swelling was smooth surfaced with well-defined margins and resilient in consistency. It was compressible, pulsatile, and tender on palpation. The swelling reduced in size on opening the mouth and on clenching, swelling became more prominent adjacent to ramus of mandible. The mouth opening was reduced with deviation toward right on opening. The right submandibular lymph nodes were found to be enlarged, tender and mobile on palpation.

Bottom Line: It was supplied by the right external carotid artery.Patient was referred to the department of neurosurgery for further management.The diagnosis at an early stage is important because it is associated with high risk of morbidity, but advances in imaging, and surgical methods of treatment have changed the sites associated with high risk of morbidity.

View Article: PubMed Central - PubMed

Affiliation: Department of Oral Medicine and Radiology, Maulana Azad Institute of Dental Science, New Delhi, India.

ABSTRACT
Juvenile nasopharyngeal angiofibroma is a locally aggressive benign vascular neoplasm, composed of vasogenic and myofibroblastic elements, accounts for 0.05-0.5% of all the head and neck neoplasms. There are very few case reports of nasopharyngeal angiofibroma involving the oral cavity; we report a case involving both the maxilla and mandible in a 17-year-old patient who reported with a large firm swelling on right side of face with recurrent epistaxis and headache. Magnetic resonance angiography revealed a large lobulated enhancing soft tissue mass, which was hypointense on T1-weighted image and heterogeneously hyperintense on T2-weighted image causing expansion of pterygopalatine fossa and sphenopalatine foramen with extension into the sphenoid sinus, ethmoid air cells, right nasal cavity, right infratemporal fossa and right maxillary sinus with remodeling of right zygomatic arch and part of body and ramus of mandible. It was supplied by the right external carotid artery. Patient was referred to the department of neurosurgery for further management. The diagnosis at an early stage is important because it is associated with high risk of morbidity, but advances in imaging, and surgical methods of treatment have changed the sites associated with high risk of morbidity.

No MeSH data available.


Related in: MedlinePlus