Sinonasal Angiomyolipoma at Vidian’s Nerve: Case Report with Literature Review

Abstract

A 76-year-old male presented to the Otolaryngology clinic for an incidental right nasopharyngeal mass. The patient has a history of type 2 diabetes, obstructive sleep apnea treated with continuous positive airway pressure, and polio. Past otolaryngologic surgical history included tonsillectomy. Four months prior, the patient was evaluated for scalp lesions that were diagnosed as sebaceous carcinomas. Resultant screening magnetic resonance imaging (MRI) of the brain revealed an enhancing 2.1 x 1.7 cm mass extending from the anterior choana into the nasopharynx (Figure 1).