Three nasal tumors were evaluated before introduction of CT to clinical practice. Laryngeal and oral angiofibroma required no radiological imaging. Infratemporal fossa tumor showed intensive contrast enhancement on CT and magnetic resonance imaging (MRI) scans, and abundant vascularity on angiography. In one patient with nasal tumor carotid angiography demonstrated pathological vessels without intensive tumor blush.
In four patients with nasal tumor computed tomography (CT) demonstrated mass with strong to intermediate contrast enhancement. Patients with laryngeal angiofibroma suffered from mild dysphagia and patients with the infratemporal fossa tumor had painless cheek swelling. In patients with nasal angiofibroma most common presenting symptoms were nasal obstruction and epistaxis. There were 7 patients with nasal angiofibroma, 1 patient with laryngeal angiofibroma, 1 patient with oral angiofibroma and another patient with infratemporal fossa tumor. The group consisted of 4 males and 5 females aged 8-49. We review ten cases of extranasopharyngeal angiofibroma (ENA) and discuss the incidence, clinical presentation and management of this pathology. Angiofibromas have been sporadically described in extanasopharyngeal locations. Due to aggressive local growth, skull base location and risk of profound hemorrhage, NA is a challenge for surgeons. Nasopharyngeal angiofibroma (NA) is a rare, vascular tumor affecting adolescent males. Szymańska, Anna Szymański, Marcin Morshed, Kamal Czekajska-Chehab, Elżbieta Szczerbo-Trojanowska, Małgorzata Extranasopharyngeal angiofibroma: clinical and radiological presentation.
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