Juvenile nasopharyngeal angiofibroma presenting as a facial swelling. A case report |
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| Authors: | C Mannai H C Schwartz |
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| Affiliation: | 1. Department of Maxillofacial Surgery (Head: H. C. Schwartz, D. M. D., M. D.), Southern California Permanente Medical Group, Los Angeles, USA;2. Department of Oral and Maxillofacial Surgery (Head: D. L. Leake, D. M. D., M. D.), Harbor-UCLA Medical Center, Torrance, USA;1. Department of Interventional Neuroradiology, Beijing Neurosurgical Institute and Beijing Tiantan Hospital, Capital Medical University, Beijing, People''s Republic of China;2. Beijing Engineering Research Center for Interventional Neuroradiology, Beijing, People''s Republic of China;3. Neurosurgery Department, First Affiliated Hospital of Anhui Medical University, Anhui, People''s Republic of China;4. Neurosurgery Department, The First Hospital of Shijiazhuang, Hebei Sheng, People''s Republic of China;5. Neurosurgery Department, Xinjiang Uygur Autonomous Region People''s Hospital, Xinjiang, People''s Republic of China;1. Unidad de Mama, Servicio de Cirugía General y del Aparato Digestivo, Hospital Abente y Lago, Complejo Hospitalario Universitario de A Coruña, A Coruña, España;2. Unidad de Mama, Hospital Abente y Lago, Complejo Hospitalario Universitario de A Coruña, A Coruña, España;3. Unidad de Mama, Servicio de Oncología Médica, Complejo Hospitalario Universitario de A Coruña, A Coruña, España;1. Division of Oral and Maxillofacial Surgery, Oral and Maxillofacial Radiology, Niigata University Hospital, Niigata, Japan;2. Oral Pathology Section, Department of Surgical Pathology, Niigata University Hospital, and Resident, Division of Oral Pathology, Niigata, Japan;3. Division of Oral Pathology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan;4. Oral Implant Clinic, Niigata University Hospital, Niigata, Japan;5. Division of Oral and Maxillofacial Radiology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan;1. Division of Cardiology, Department of Internal Medicine, Heart Vascular Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seúl, Corea;2. Department of Internal Medicine and Cardiovascular Center, Seoul National University Hospital, Seúl, Corea;3. Institute on Aging, Seoul National University, Seúl, Corea;1. Surgical Outcomes and Quality Improvement Center, Northwestern University, Chicago, Illinois;2. Department of Surgery, Medical University of South Carolina, Charleston, South Carolina;3. Division of Thoracic Surgery, Northwestern University, Chicago, Illinois;4. Division of Surgical Oncology, Northwestern University, Chicago, Illinois;5. Center for Healthcare Studies, Northwestern University, Chicago, Illinois;6. Robert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, Illinois |
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| Abstract: | ![]()
Juvenile nasopharyngeal angiofibroma is a rare benign neoplasm occurring almost exclusively in adolescent males. When it is confined to the nasopharynx, surgery is often curative. In 20% of cases, there is intracranial extension, and radiotherapy may be used to avoid the risk of life-threatening haemorrhage. The authors report an unusual case which presented with a swelling of the cheek and an abducens nerve palsy. The lesion extended from the nasopharynx across the pterygomaxillary fissure, as well as intracranially. Radiotherapy was given, and the patient remains disease-free after one year. |
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