Resumo

TAPIA ALCALA, Marco Antonio  e  AJATA CORRALES, Laura Cile. Juvenile angiofibroma. SCIENTIFICA [online]. 2013, vol.11, n.1, pp. 32-34. ISSN 1813-0054.

SUMMARY Description of clinical features, diagnosis and treatment of the "Juvenile angiofibroma." Male patient of 20 years old from and resident in Potosi transferred to "Hospital Obrero" in the city of La Paz, blood type A Rh +, has the following clinical signs: nasal obstruction, frontal continuous pulsatile headache, hearing loss, nasal discharge, conjunctivitis and visual acuity decrease. Signs of invasion in the right temporo-maxillary region with extension into the maxillary area committing sinuses, right orbital cavity. At the oropharyngeal exploration soft palate deformity can be seen. In otoscopy there is a tubal blockage, the TAC determined the extent and invasion. The MRI provides sagital plane information, the arteriography shows the vascularization of the tumor system: carotid, basilar vertebro and tirobicervicoescapular. Pathological study shows ulceration with segmental pharyngeal necrosis in III Chandler's stage. The surgical treatment precise open surgical approaches accompanied with prior embolization. There is recurrence of 5 to 37% in particular tumors that invade the bone structure of the skull base, so it is important to apply a meticulous excision. The prognosis is favorable in proportion to its early recognition and removal.

Palavras-chave : Juvenile; angiofibroma.