Hussain Syed Ahmed Shahzaeem, Ali Hassan, Hussain Syed Muzahir, Naqvi Syeda Anum Fatima, Hussain Syed Ahmed Shahzain, Abdullah Muhammad
Department of ENT, Shaikh Zayed Hospital, Shaikh Zayed Medical Complex, University Avenue, Block D Muslim Town, Lahore, Punjab Pakistan.
Shaikh Khalifa Bin Zayed Al Nahyan Medical & Dental College, Lahore, Punjab Pakistan.
Indian J Otolaryngol Head Neck Surg. 2024 Oct;76(5):4657-4660. doi: 10.1007/s12070-024-04740-6. Epub 2024 May 27.
Extra Nasopharyngeal Angiofibromas are rare benign vascular tumors typically affecting adolescent males. They have variable sites of origin. Only five cases of extra nasopharyngeal angiofibroma originating from the middle turbinate have been reported in the literature, here we present the sixth such case. A 44-year-old female presented with a history of left-sided nasal obstruction and spontaneous, profuse and recurrent epistaxis. A contrast-enhanced computed tomography (CT) scan showed a hyper vascular mass arising from the left middle turbinate. A provisional diagnosis of extra nasopharyngeal angiofibroma was made and it was successfully surgically excised using a midfacial degloving approach under general anaesthesia. The diagnosis was confirmed with post-operative histopathological analysis. Due to the extremely rare occurrence of Extra Nasopharyngeal Angiofibromas originating from the middle turbinate and their infrequent presentation in female patients, misdiagnosis poses a greater risk of complications. The surgeon must exercise caution before conducting misguided biopsies, which are contraindicated.
The online version contains supplementary material available at 10.1007/s12070-024-04740-6.
鼻外型血管纤维瘤是一种罕见的良性血管肿瘤，通常影响青春期男性。其起源部位多样。文献中仅报道了5例起源于中鼻甲的鼻外型血管纤维瘤，本文报告第6例。一名44岁女性，有左侧鼻塞及自发性大量反复鼻出血病史。增强计算机断层扫描（CT）显示一个起源于左中鼻甲的高血运肿块。初步诊断为鼻外型血管纤维瘤，并在全身麻醉下采用面中部掀翻术成功将其手术切除。术后组织病理学分析确诊。由于起源于中鼻甲的鼻外型血管纤维瘤极为罕见，且在女性患者中较少见，误诊会带来更大的并发症风险。外科医生在进行有误导性的活检（活检为禁忌）之前必须谨慎行事。
在线版本包含可在10.1007/s12070-024-04740-6获取的补充材料。
