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Nasal Septal Angiofibroma
Oratile Thobejane1, Shivesh Maharaj2
1Department of Otorhinolaryngology, Faculty of Health Science, University of the Witwatersrand, Johannesburg, South Africa.
Ear, Nose, & Throat Journal
|June 17, 2021
Summary
Juvenile nasopharyngeal angiofibroma is a benign vascular tumor affecting adolescent males. Diagnosis relies on imaging, avoiding biopsies due to bleeding risks, with CT scans effective for extranasopharyngeal cases.
Area of Science:
- Otolaryngology
- Oncology
- Radiology
Background:
- Juvenile nasopharyngeal angiofibroma (JNA) is a rare, benign vascular tumor.
- It predominantly affects adolescent males in their second decade.
- Extranasopharyngeal angiofibroma (EPA) refers to similar masses outside the nasopharynx.
Purpose of the Study:
- To describe the characteristics and diagnostic approaches for angiofibromas.
- To highlight the importance of imaging in diagnosis.
- To emphasize the avoidance of biopsy in suspected cases.
Main Methods:
- Review of clinical presentation and imaging findings.
- Focus on Computed Tomography (CT) scan as a primary diagnostic tool.
- Discussion of diagnostic criteria for extranasopharyngeal angiofibroma.
Main Results:
- Angiofibromas are benign vascular tumors.
- Diagnosis is primarily clinical and imaging-based.
- CT scans are sufficient for diagnosing extranasopharyngeal angiofibroma, clearly delineating the tumor.
Conclusions:
- Biopsies should be avoided in suspected angiofibroma cases to prevent severe hemorrhage.
- Computed tomography is a reliable imaging modality for diagnosing extranasopharyngeal angiofibroma.
- Accurate diagnosis relies on integrating clinical and radiological findings.
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