Journal of Rhinology 2013;20(2):119-122.
Published online November 30, 2013.
A Case of Extranasopharyngeal Angiofibroma Arising from the Inferior Turbinate Removed without Pre-Operative Embolization
Ho Min Lee, Jung Min Lee, Jae Ki Kim, Jung Gwon Nam
Department of Otolaryngology-Head and Neck Surgery, Ulsan University College of Medicine, Ulsan University Hospital, Ulsan, Korea.
술전 색전술 없이 제거한 하비갑개에서 발생한 비인강외 혈관 섬유종 치험 1례
이호민, 이정민, 김재기, 남정권
울산대학교 의과대학 울산대학교병원 이비인후과학교실
The angiofibroma is a highly vascular and histologically benign neoplasm that usually arises in the nasopharyx in adolescent male patients. It accounts for less than 0.5% of all head and neck neoplasm. Reports of primary extra-nasopharyngeal angiofibroma have appeared sporadically in the literature. The inferior turbinate is a very rare site of extra-nasopharyngeal angiofibroma, with only 5 cases reported in the medical literature. Also, the value of embolization in surgery for extra-nasopharyngeal angiofibroma is a controversial matter. We report a case of extra-nasopharyngeal angiofibroma arising from the inferior turbinate of a 37-year-old male. The tumor was completely removed through endonasal, endoscopic technique without pre-operative embolization. Histopathology confirmed it to be a case of angiofibroma. The patient is currently free of relapse 6 months after surgery. Endoscopic resection is a feasible and safe method for angiofibroma surgery. The current evidence does not support obligatory embolization in every case of endoscopic angiofibroma resection.
Key Words: Angiofibroma;Inferior Turbinate

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