Abstract
We report here two rare cases of angiofibroma located in the nasal cavity. After angiographic embolization to reduce operative hemorrhage, surgical resection was performed by a transantral approach in both cases.
Case 1 was a 24-year-old male who presented with a left nasal obstruction and recurrent nasal bleeding. An anterior rhinoscopy showed a reddish tumor occupying the left nasal cavity; the tumor was histologically diagnosed as an angiofibroma. An angiography showed that the feeding artery was the left sphenopalatine artery. One day after angiographic embolization using gelform, the tumor was completely removed from the middle meatus using a transantral approach. Blood loss for the operation was no more than 140ml, and no sign of recurrence was observed one year after the operation. Case 2 was a 17-year-old male who presented with a left nasal obstruction. An anterior rhinoscopy showed a reddish tumor occupying the left nasal cavity, and a histological examination revealed an angiofibroma. The day after angiographic embolization, the tumor was resected from the middle meatus using a transantral approach, similar to Case 1. Blood loss was no more than 132ml, and no postoperative bleeding occurred. No sign of recurrence was observed six months after the operation.
