Juvenile nasopharyngeal angiofibroma

Abstract

Introduction: juvenile nasopharyngeal angiofibroma is a benign tumor but can cause morbidity and mortality. We present a pediatric patient who had a successful resolution by surgical resection. Clinical case: ten-year-old male, with a history of nine months of unilateral nasal obstruction of approximately, associated with episodes of rhinorrhea, nocturnal hoarseness, mouth breathing, hyposmia and recurrent epistaxis. Imaging studies identified a tumor with irregular borders at the paranasal sinuses, concluding that it was a nasopharyngeal angiofibroma in stage IIb of the Radkowski classification. Tumor embolization is performed, and after 24 hours the tumor is removed by nasal endoscopic surgery. One year after resection, no tumor recurrence was documented. Conclusion: patients with juvenile nasopharyngeal angiofibroma are usually male, in the second decade of life, and with epistaxis as the main manifestation. Its treatment is surgical, with infrequent recurrences.