Vision recovery following nasopharyngeal angiofibroma excision.
'Juvenile' nasopharyngeal angiofibroma is a locally aggressive, yet histologically benign, vascular neoplasm. This neoplasm accounts for less than 0.5% of head and neck neoplasms. We report an unique case of a 14-year-old male with a nasopharyngeal angiofibroma compressing the optic nerve and causing great visual impairment. The tumor was a red lobulated mass in left nostril, invading maxillary sinus, anterior and posterior ethmoid sinus, sphenoid sinus, and cavum area. Midfacial degloving approach and total excision of the tumor resulted in almost completely visual recovery. Optic nerve decompression was not performed. We consider that an early diagnosis, an adequate approach, total tumor excision, and efforts by a team of sub-specialists are most likely to yield optimal results.
Patrocínio
José Antônio
JA
Department of Otorhinolaryngology, Medical School, Rua 15 de Novembro, 327 / apt. 1600, Federal University of Uberlândia, 38400-214 Uberlândia, Brazil. lucaspatrocinio@triang.com.br
Patrocínio
Lucas Gomes
LG
Martins
Lessandro Paiva
LP
da Cunha
André Rodrigues
AR
D000293:Adolescent; D018322:Angiofibroma / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009303:Nasopharyngeal Neoplasms / Q000601:surgery*; D009408:Nerve Compression Syndromes / Q000601:surgery*; D009901:Optic Nerve Diseases / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D014786:Vision Disorders / Q000209:etiology*