An Extranasopharyngeal Angiofibroma of Mandibular Ramus in a Preschool Child - An Extremely Rare Case Report

Angiofibroma or juvenile nasopharyngeal angiofibroma (JNF) is a rare vascular benign tumour predominant in male adolescents and pre-adolescents. In spite of several origin sites reported, nasopharynx in the region of the sphenopalatine foramen and pterygopalatine fossa remains most common.1 Nevertheless, sporadic description of extra nasopharyngeal angiofibromas (ENAF) are also rarely evident.2 Literature documents maxillary sinus as the most favourable site for ENAF followed by the ethmoid sinus, nasal cavity, nasal septum, larynx, sphenoid sinus, cheek, conjunctiva, oropharynx, retromolar area and others.3 However, ENAF of mandibular ramus marks rarity and no case has been reported with respect to this anatomic location especially in preschool children yet. Hence, a rare ENAF in a 3-year-old child, principally confined to mandible, with neither sphenopalatine foramen nor nasopharynx involvement presenting with swelling is described.