Middle Turbinate Angiofibroma in a Middle-Aged Female: A Case Report and Review of the Literature.

IF 0.6 Q4 SURGERY Indian Journal of Otolaryngology and Head and Neck Surgery Pub Date : 2024-10-01 Epub Date: 2024-05-27 DOI:10.1007/s12070-024-04740-6
Syed Ahmed Shahzaeem Hussain, Hassan Ali, Syed Muzahir Hussain, Syeda Anum Fatima Naqvi, Syed Ahmed Shahzain Hussain, Muhammad Abdullah
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引用次数: 0

Abstract

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.

Supplementary information: The online version contains supplementary material available at 10.1007/s12070-024-04740-6.

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一名中年女性的中鼻甲血管纤维瘤:病例报告和文献综述。
鼻咽外血管纤维瘤是一种罕见的良性血管肿瘤,通常发生在青少年男性身上。它们的起源部位不一。文献中仅报道了五例起源于中鼻甲的鼻咽外血管纤维瘤,这里我们介绍第六例此类病例。一名 44 岁的女性患者因左侧鼻塞和自发性、大量和反复鼻衄而就诊。造影剂增强计算机断层扫描(CT)显示,左侧中鼻甲出现高血管肿块。初步诊断为鼻咽外血管纤维瘤,并在全身麻醉的情况下采用面中部切除法成功进行了手术切除。术后组织病理分析证实了这一诊断。源于中鼻甲的鼻咽外血管纤维瘤极为罕见,而且女性患者也不常见,因此误诊会带来更大的并发症风险。外科医生在进行误导性活检之前必须谨慎,因为这是禁忌症:在线版本包含补充材料,可在 10.1007/s12070-024-04740-6上查阅。
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来源期刊
CiteScore
0.80
自引率
0.00%
发文量
226
审稿时长
6-12 weeks
期刊介绍: Indian Journal of Otolaryngology and Head & Neck Surgery was founded as Indian Journal of Otolaryngology in 1949 as a scientific Journal published by the Association of Otolaryngologists of India and was later rechristened as IJOHNS to incorporate the changes and progress. IJOHNS, undoubtedly one of the oldest Journals in India, is the official publication of the Association of Otolaryngologists of India and is about to publish it is 67th Volume in 2015. The Journal published quarterly accepts articles in general Oto-Rhino-Laryngology and various subspecialities such as Otology, Rhinology, Laryngology and Phonosurgery, Neurotology, Head and Neck Surgery etc. The Journal acts as a window to showcase and project the clinical and research work done by Otolaryngologists community in India and around the world. It is a continued source of useful clinical information with peer review by eminent Otolaryngologists of repute in their respective fields. The Journal accepts articles pertaining to clinical reports, Clinical studies, Research articles in basic and applied Otolaryngology, short Communications, Clinical records reporting unusual presentations or lesions and new surgical techniques. The journal acts as a catalyst and mirrors the Indian Otolaryngologist’s active interests and pursuits. The Journal also invites articles from senior and experienced authors on interesting topics in Otolaryngology and allied sciences from all over the world. The print version is distributed free to about 4000 members of Association of Otolaryngologists of India and the e-Journal shortly going to make its appearance on the Springer Board can be accessed by all the members. Association of Otolaryngologists of India and M/s Springer India group have come together to co-publish IJOHNS from January 2007 and this bondage is going to provide an impetus to the Journal in terms of international presence and global exposure.
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