Mohamed A A
Service d'Oto-Rhino-Laryngologie, Hôpital Gabriel Toure, Bamako, Mali.
Med Trop (Mars). 1994;54(3):247-8.
Over a period of 2 years, 12 cases of angiofibroma of the nasal fossae were observed in an otorhinolaryngology department in Bamako. The classical female sex bias attributed to this disorder which involved patients under 40 years of age in 10 cases was not found. Also in contrast with usual observations, the lesion was located in the septum in only one third of cases. In all cases management was performed on an outpatient basis and diagnosis was confirmed by histology. All patients underwent excision of polyps by the endonasal route under local anesthesia. In 2 patients with septal angiomas, electrical cautery did not suffice to control bleeding and had to be associated with abrasion from the submucosal to the sub-perichondral area. This African series shows that simple and rapid management of angiofibromas of the nasal fossae prevents complications which could be particularly severe in tropical regions.
