Hamdan Abdul-Latif, Moukarbel Roger V, Kattan Mireille, Natout Mohamad
Department of Otolaryngology--Head & Neck Surgery, American University of Beirut Medical Center.
Middle East J Anaesthesiol. 2012 Feb;21(4):653-5.
Angiofibromas originate predominantly in the nasopharynx. Extranasopharyngeal sites such as the paranasal sinuses and nasal cavity are less frequent. Angiofibroma of the nasal septum is extremely rare and the site of origin is either anterior, at the bony cartilaginous junction or posterior. Clinically, patients present with recurrent epistaxis and nasal obstruction secondary to a fleshy or polypoidal nasal mass. Computerized tomography of the nasal cavity and bilateral carotid angiography are useful in the pre-operative work-up. The main stay of treatment is surgical resection. A rare case of nasal septal angiofibroma is hereby presented.
血管纤维瘤主要起源于鼻咽部。鼻旁窦和鼻腔等鼻咽外部位则较为少见。鼻中隔血管纤维瘤极为罕见,其起源部位要么在前方,即骨软骨交界处,要么在后方。临床上,患者表现为反复鼻出血以及因鼻腔内肉质或息肉样肿物导致的鼻塞。鼻腔计算机断层扫描和双侧颈动脉血管造影在术前检查中很有用。治疗的主要方法是手术切除。本文特此报告一例罕见的鼻中隔血管纤维瘤病例。