Baptista Marco Antonio Ferraz de Barros, Pinna Fábio de Rezende, Voegels Richard Louis
Department of Otolaryngology, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, HCFMUSP, São Paulo, SP, Brazil ; Department of Otolaryngology, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Department of Otolaryngology, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Int Arch Otorhinolaryngol. 2014 Oct;18(4):403-5. doi: 10.1055/s-0034-1387811. Epub 2014 Aug 25.
Introduction The extranasopharyngeal angiofibroma is histologically similar to juvenile nasopharyngeal angiofibroma, differing from the latter in clinical and epidemiologic characteristics. Objectives We present a case of extranasopharyngeal angiofibroma originating in the inferior turbinate. Resumed Report The patient was a girl, 8 years and 6 months of age, who had constant bilateral nasal obstruction and recurrent epistaxis for 6 months, worse on the right side, with hyposmia and snoring. Nasal endoscopy showed a reddish lesion, smooth, friable, and nonulcerated. Computed tomography showed a lesion with soft tissue density in the right nasal cavity. We used an endoscopic approach and found the lesion inserted in the right inferior turbinate. We did a subperiosteal dissection and excision with a partial turbinectomy with a resection margin of 0.5 cm. Histopathology reported it to be an extranasopharyngeal angiofibroma. Conclusion Although rare, extranasopharyngeal angiofibroma should be considered in the diagnosis of vascular tumors of the head and neck.
鼻外咽血管纤维瘤在组织学上与青少年鼻咽血管纤维瘤相似，但在临床和流行病学特征上与后者不同。目的：我们报告一例起源于下鼻甲的鼻外咽血管纤维瘤病例。病例报告：患者为一名8岁6个月的女孩，双侧持续性鼻塞伴反复鼻出血6个月，右侧更严重，伴有嗅觉减退和打鼾。鼻内镜检查显示为红色病变，表面光滑、质脆且无溃疡。计算机断层扫描显示右侧鼻腔有软组织密度病变。我们采用内镜方法，发现病变附着于右下鼻甲。我们进行了骨膜下剥离并切除，部分切除下鼻甲，切缘为0.5厘米。组织病理学报告为鼻外咽血管纤维瘤。结论：尽管鼻外咽血管纤维瘤罕见，但在头颈部血管肿瘤的诊断中应考虑到。
