Management of nasopharyngeal angiofibroma in a 72-year-old male through a sublabial and buccolabial incision approach: A case report and literature review

Zhang, Huankang; Wang, Jing‑Jing; Liu, Zhuo‐Fu; Wang, De‐Hui

doi:10.3892/ol.2015.3410

Cited by 6 publications

(3 citation statements)

References 15 publications

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“…NA is a rare disease in the elderly, with few cited reports of patients with NA after the second decade of life. 7 Of all the studies citing older patients with NA, surgical excision occurred by either traditional open approaches 8–11 or a combined endoscopic and open approach, 7 but none with a fully endoscopic excision as in this case. Although more data are needed regarding surgical approach and recurrence rates to determine the best outcomes, this case highlights that the endoscopic approach is certainly a viable option in elderly patients.…”

Section: Discussionmentioning

confidence: 91%

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Nasopharyngeal Angiofibroma: A Forgotten Entity in Older Patients

Stubbs

Miller

Parasher

et al. 2019

Clin Med Insights Case Rep

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Introduction: Nasopharyngeal angiofibroma (NA) characteristically affects adolescent men. Although benign, these tumors can cause local destruction and surgical resection is warranted. Objective: We present a case of a 62-year-old man with nasal congestion and epistaxis, found to be a right NA on pathology. We also present a review of the available NA staging systems. Findings: In this case of NA, imaging revealed an aggressive, hypervascular mass in the nasal cavity with involvement of the middle cranial fossa and cavernous sinus. The patient underwent complete endoscopic surgical resection following vascular embolization. Conclusions: Although it is rare, NA should not be disregarded in the elderly population.

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Section: Discussionmentioning

confidence: 91%

“…The average age of patients with NA is reported to range from 10 to 25 years, 6 with few case reports published discussing NA in the elderly male and female population 7–12 (Table 1). The oldest reported case is in a 79-year-old patient.…”

Section: Introductionmentioning

confidence: 99%

Nasopharyngeal Angiofibroma: A Forgotten Entity in Older Patients

Stubbs

Miller

Parasher

et al. 2019

Clin Med Insights Case Rep

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“…[1][2][3] They are thus termed juvenile nasopharyngeal angiofibromas or juvenile angiofibromas (JAF). However, JAF may also occur at a very young age, [4][5][6][7][8][9][10][11][12][13] in the elderly, [14][15][16] in female 15,[17][18][19][20] or in pregnant 21 patients and at atypical locations.…”

Section: Introductionmentioning

confidence: 99%

Extranasopharyngeal angiofibroma revisited

Windfuhr

Vent

2017

Clinical Otolaryngology

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Background Angiofibromas in the head and neck region usually arise in the nasopharynx, but may also occur elsewhere. This study aims at evaluating the incidence and clinical features of extranasopharyngeal angiofibroma (ENA). Material and Methods Systematic review of the literature (Medline® and Google™) up to 31 December 2015. Results 174 cases of ENA were retrieved from a total of 170 publications. In contrast to former publications and previous understanding, the nasal septum was by far the most common site of the disease. Four patients had a congenital lesion, the oldest patient was 87 years old (mean: 28.7 years; median: 23 years). Male gender was predominantly affected, but the sex ratio was more balanced (2.13:1) than in previous reports in the literature until 12/2015. The majority of patients presented with nasal obstruction, either in combination with epistaxis (25.8%) or other symptoms (12.6%). Symptoms had developed within 13.1 months on average (median: 4 months). Brisk bleeding resulted in 11 of 43 biopsy procedures. Surgical resection as first‐line therapy was performed in 170 patients. A tumour regrowth within 12 months was registered in four patients. Conclusion The increasing awareness of ENA and the willingness to publish case reports—not only in Medline‐listed journals—resulted in a significant increase of published case reports lately. Although extremely rare, ENAs have to be taken into account in the differential diagnosis of unclear masses, particularly in adult patients presenting with a rapidly developing nasal obstruction resulting from a nasal septum tumour. Female gender or normal vascularity does not exclude the diagnosis. Transnasal resection is sufficient in most cases, and recurrences are rare. Pathologists as well as clinicians should consider ENA in their differential diagnosis of any mass of the upper airway.

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Extranasopharyngeal Angiofibroma

Windfuhr¹

2017

Juvenile Angiofibroma

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Management of nasopharyngeal angiofibroma in a 72-year-old male through a sublabial and buccolabial incision approach: A case report and literature review

Cited by 6 publications

References 15 publications

Nasopharyngeal Angiofibroma: A Forgotten Entity in Older Patients

Nasopharyngeal Angiofibroma: A Forgotten Entity in Older Patients

Extranasopharyngeal angiofibroma revisited

Extranasopharyngeal Angiofibroma

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