Abstract
Nasopharyngeal angiofibroma is a benign vascular locally aggressive lesion that arises from a hamartomatous nidus, with nasopharynx being the most common and earliest site of presentation. However deviance to such presentation have been reported although rare, such as turbinates, nasal septum and retroantral space. Classical nasopharyngeal angiofibroma routinely presents with chief complaints of nasal obstruction and characteristic painless, recurrent and spontaneous epistaxis with choanal banking effect. Our case depicts the unique and rare presentation of angiofibroma as a progressive cheek swelling in an adolescent male without any nasal symptoms. Diagnostic nasal endoscopy revealed a normal bilateral nasal cavity and nasopharynx. Contrast Enhanced Computed Tomography (CECT) of PNS and face aided the diagnosis. Complete surgical clearance was achieved post embolization via maxillary swing approach. Diagnosis was confirmed on histopathology. Extra nasopharyngeal angiofibroma may be a rare entity however must be considered as a differential diagnosis in vascular skull base tumours.
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