Angiofibroma on cheek mucosa: A rare entity and its management with laser

Abstract

A rare presentation of an angiofibroma in the oral cavity is reported, which was treated with a diode laser. The benefits of laser treatment include bloodless procedure with instant precise coagulation of vessels. Although rare and unusual, it is suggested that angiofibroma should be included as one of the differential diagnoses of soft tissue swellings in the oral cavity.

Diode Laser Management of Primary Extranasopharyngeal Angiofibroma Presenting as Maxillary Epulis: Report of a Case and Literature Review

“…According to this statement, in the current review of the literature, we exclusively selected cases with primary oral involvement, paying attention to attentively identify those ENAs occurring in the maxilla (or maxillary gingiva/palatal mucosa) that showed no involvement of the nasal/maxillary cavities. To the best of our knowledge and with the exclusion of the current case, a total of 20 cases of ENA matching the aforementioned criteria have been previously reported [ 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 ], the pertinent data of which on age, sex, site, symptoms and author/year of publication are listed in Table 1 .…”

“…[ 14 , 21 ] Foreign body sensation, chewing and speech difficulties were usually related to site and size of the lesions, while bleeding was referred or observed during clinical/surgical procedures in seven cases only. In two cases the lesions were treated by laser [ 15 , 27 ].…”

“…Intraoral localization of ENA has been occasionally reported in the lip, palate, tonsil, tonsillar pillar, cheek, retro-molar area and gingiva [ 12 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 ]. We report on a case of extranasopharyngeal angiofibroma (ENA) with localization to the adherent maxillary gingiva and without maxillary sinus involvement.…”

Atypical angiofibroma in a patient with compromised general health: A case report

“…Angiofibroma is a rare benign fibrovascular tumor that is locally invasive and of unknown etiology; it may affect different parts of the body, including the nasopharynx, which determines the nasopharyngeal angiofibroma (NA) [ [1] , [2] , [3] , [4] ]. The NA originates from the pterygopalatine fossa and extends to the adjacent anatomical structures [ [5] , [6] , [7] ].…”

“…In young individuals, this tumor is known as juvenile nasopharyngeal angiofibroma (JNA) [ 1 , 4 , 5 ]. The NA is more common in men and usually unilateral [ [1] , [2] , [3] , [4] ]. It is often associated with several signs and symptoms, mainly epistaxis and nasal obstruction [ 5 , [8] , [9] , [10] , [11] ].…”