Mandibular Intraosseous Angiofibroma-A Rare Clinical Entity

Intraosseous angio-lipo-fibroma of the mandible: Report of a rare case with review of literature

INTRODUCTION AND IMPORTANCE

Angiolipofibroma is rare lesion with extraordinarily vascular structure, occurs within the head and neck region, typically springing up in the nasopharyngeal location, with a locally competitive efficiency.

CASE PRESENTATION

Male patient, aged 25 years old was referred to oral surgeon with the aim of surgical removal of a painless lesion of the left posterior mandibular area. he has well heath without any medical history The mass was removed by the oral surgeon and subjected to histological analysis the final diagnosis was found to be an intraosseous angiolipofibroma.

CLINICAL DISCUSSION

The significance of this report lies in the rarity of the presence of angiolipofibroma in the mandible and the clinical and radiographic manifestations were only a silent unilocular radiolucent lesion. Only a few cases have been published describing angiolipofibroma in the mandible. it is difficult to diagnose on clinical and radiographic features only.

CONCLUSION

The definitive diagnosis is based on histological examination. The surgical treatment was enough.

Angiofibroma of the Mandible: Report of a Rare Case

Angiofibroma is an uncommon, highly vascular benign lesion that occurs in the head and neck region, typically arising in the nasopharyngeal area, potentially with a locally aggressive course. Angiofibroma with a primary intraoral presentation is extremely rare; few case reports have been published in the literature, with only three cases of angiofibroma in the mandible published to date. In this case, a 37-year-old man presented with swelling at the right mandible and underwent enucleation of the lesion under general anesthesia. After 1-year follow-up, there were no signs of recurrence.

Diode Laser Management of Primary Extranasopharyngeal Angiofibroma Presenting as Maxillary Epulis: Report of a Case and Literature Review

Juvenile nasopharyngeal angiofibroma is a rare vascular neoplasm, mostly occurring in adolescent males, and representing 0.05% of all head and neck tumors. Nevertheless, it is usually recognized as the most common benign mesenchymal neoplasm of the nasopharynx. Usually, it originates from the posterolateral wall of the nasopharynx and, although histologically benign, classically shows a locally aggressive behavior with bone destruction as well as spreading through natural foramina and/or fissures to the nasopharynx, nasal and paranasal cavities, spheno-palatine foramen, infratemporal fossa and, very rarely, to the cranial cavity. Extranasopharyngeal angiofibroma is considered a distinct entity due to older age at presentation, different localizations (outside the nasopharyngeal pterygopalatine fossa) and attenuated clinical course. Extranasopharyngeal angiofibroma has been sporadically described in the oral cavity. We report a case of extranasopharyngeal angiofibroma with primary and exclusive involvement of the adherent gingiva of the anterior maxilla, managed by preoperative diode laser trans-mucosal photocoagulation and subsequent surgical removal. The current literature on primary extranasopharyngeal angiofibroma is also reviewed.