February 2026, Volume 4, Issue 2

Author

Aditya Shikar Bhattacharya, Kaushik Bhattacharya and Neela Bhattacharya

Abstract

An extra-nasopharyngeal angiofibroma (ENA) is a rare, atypical tumour that arises from sites other than the sphenopalatine foramen. It has a very variable clinical presentation depending on the site of origin, can occur at any age, and does not have a male predominance. This can create difficulties and challenges for doctors tasked with diagnosing the tumour. A rare case of angiofibroma in the left parapharyngeal space is reported as Nasopharyngeal Angiofibroma (NA), which is the most common benign neoplasm of the nasopharynx, but an extremely rare vascular tumor, and represents only 0.05 % of all head and neck tumors. ENAs are even more uncommon. As there are not many cases of this pathology reported in the literature, it becomes extremely difficult to accept this diagnosis except by having a high level of clinical acumen and suspicion.