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

Zhang,Huan‑Kang; Wang,Jing‑Jing; Liu,Zhuo‑Fu; Wang,De‑Hui

doi:10.3892/ol.2015.3410

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

Authors:
- Huan‑Kang Zhang
- Jing‑Jing Wang
- Zhuo‑Fu Liu
- De‑Hui Wang
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Affiliations: Department of Otolaryngology, Fudan University Affiliated Eye, Ear, Nose and Throat Hospital, Shanghai 200031, P.R. China
Published online on: June 22, 2015 https://doi.org/10.3892/ol.2015.3410
Pages: 1267-1270
Copyright: © Zhang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Nasopharyngeal angiofibroma (NA) primarily affects adolescent males. The incidence of NA in the elderly, however, is extremely low. The present study describes a 72-year-old male with NA that presented with typical symptoms and radiological findings. The location and extension of the tumor was too lateral and inferior to be effectively resected by an endoscopic approach. Therefore, a combination of endoscopic and open approaches was considered. The tumor was completely resected using an image‑guided endoscopic‑assisted sublabial and buccolabial incision approach. The post‑operative histopathological and immunohistochemical analysis confirmed the diagnosis of NA. The present study demonstrated the occurrence of NA in the elderly, and highlighted the potential of an image‑guided endoscopic‑assisted sublabial and buccolabial incision approach for the treatment of NA in the elderly.

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