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What is A 13 years boy presented with swelling in the cheek with recurrent epistaxis. Most likely diagnosis is and explain in detail?
(Angio fibroma) (230-Dhingra 4th)* Nasopharyngeal Fibroma (Juvenile nasopharyngeal angiofibroma)Clinical features* Almost exclusively in male age 10-20 years* Profuse and recurrent epistaxis *** Progressive nasal obstruction and denasal speech* Conductive hearing and serous otitis media* Mass in the masopharynx* Other clinical features like - broadening of the nasal bridge, proptosis, swelling of chest infratemporal fossa or involvement of Ilnd, Illrd , IVth Vlth cranial nerve* CT-scan of the head with contrast enhancement is now the investigation of choice* Surgical excision Transpalatinei Sublabial (Sardana's approach) is now the treatment of choice