Neobvyklá lokalizácia juvenilného angiofibrómu

Unusual Localization of Juvenile Angiofibroma

Summary:
The unusual localization of juvenile angiofibroma of the sixteen-years old boy is discussed in this work. The patient’s problems – hindered breathing through the right nasal cavity and recurrent bleeding from the nose – were the reasons of this recurrent examination at ENT ambulance. Polyp in the right nasal cavity was diagnosed by the rhinoscopic examination and was indicated for the extirpation in the local anaesthesia. The operation itself was made without bleeding complication. Postoperative bleeding was minimal, without needing of the firm nasal tamponade. Juvenile angiofibroma was stated by the histological analysis. In the period of three weeks after the first operation the relapse of the bleeding from the right nasal cavity appeared. Six weeks after the operation a polyp was authenticated in the right nasal cavity with the bleeding mucos, outgrowing from the front edge of the middle nasal conch. There were completed CT and angiographic examination and them extirpation of the polyp with partial resection of middle nasal conch was indicated – by the endonasal microsurgery. The histological analysis confirmed juvenile angiofibroma. Since the second operation the patient has been under dispensarization for five years now, and there have been found neither relapse of angiofibroma nor the episodes of epistaxis .

Key words:
juvenile angiofibroma, unusual localization of juvenile angiofibroma, epistaxis .