Rare Extra-Nasopharyngeal Angiofibroma of the Anterior Nasal Septum Associated With Deviated Nasal Septum: A Case Report

Extra-nasopharyngeal angiofibroma is a rare entity, with only a few cases reported to date. It usually presents with symptoms resembling those of typical nasopharyngeal angiofibroma, but it arises from a site other than the site of origin of typical nasopharyngeal angiofibroma. A 20-year-old male presented with complaints of left-sided nasal obstruction and epistaxis for 10 days. On examination, a mass was seen attached to the anterior nasal septum. Throat and ear examinations were unremarkable. Blood investigations also came out to be as expected. A deviated nasal septum was seen, which was caused by a nasal trauma to this patient 3 years ago. This mass was removed, and the specimen was sent for histologic examination. Histologic examination of the specimen proved the mass to be extra-nasopharyngeal angiofibroma. The selection of appropriate surgical techniques and subsequent histologic examinations is extremely important to determine the exact diagnosis in such cases. The case addressed in this case report is extremely important for uncovering another rare case of extra-nasopharyngeal angiofibroma. This case might also suggest a possible linkage between extra-nasopharyngeal angiofibroma and a deviated nasal septum.