Nasopharyngeal angiofibroma is an uncommon vascular tumor of the head and neck that can be suspected based on the patient’s clinical findings.


Synonym: juvenile nasopharyngeal angiofibroma


Most patients are adolescent (“juvenile”) males.


Clinical features:

(1) recurrent, severe spontaneous epistaxis

(2) excessive epistaxis following biopsy or trauma

(3) intranasal mass with nasal obstruction and discharge

(4) facial deformity, with swelling over the cheek and/or temporal regions

(5) recurrent headache

(6) recurrent sinusitis

(7) otitis media and/or mastoiditis

(8) dacrocystitis

(9) visual defects and/or proptosis

(10) cranial nerve palsy


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