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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

Axial computed tomography image showing bowing of anterior wall of right maxillary sinus (arrow) by the enhancing soft tissue mass known as Hollman Miller's sign
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Figure 4: Axial computed tomography image showing bowing of anterior wall of right maxillary sinus (arrow) by the enhancing soft tissue mass known as Hollman Miller's sign

Mentions: Contrast enhanced CT revealed a large, ill-defined enhancing soft tissue mass filling the nasopharynx, bilateral nasal cavity [Figures 4 and 5], and pterygopalatine fossa and sphenopalatine foramen extending into ethmoid and sphenoid sinus with erosion of its lateral wall and floor. There was an extension into soft tissue component into right buccal space and the infratemporal space [Figure 6] with associated mass effects giving an impression of nasopharyngeal angiofibroma.


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)

Axial computed tomography image showing bowing of anterior wall of right maxillary sinus (arrow) by the enhancing soft tissue mass known as Hollman Miller's sign
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 4: Axial computed tomography image showing bowing of anterior wall of right maxillary sinus (arrow) by the enhancing soft tissue mass known as Hollman Miller's sign
Mentions: Contrast enhanced CT revealed a large, ill-defined enhancing soft tissue mass filling the nasopharynx, bilateral nasal cavity [Figures 4 and 5], and pterygopalatine fossa and sphenopalatine foramen extending into ethmoid and sphenoid sinus with erosion of its lateral wall and floor. There was an extension into soft tissue component into right buccal space and the infratemporal space [Figure 6] with associated mass effects giving an impression of nasopharyngeal angiofibroma.

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