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Clinical Problem Solving
September 2013

Nasal Congestion and a Rapidly Enlarging Mass at the Nasofacial Junction

Author Affiliations
  • 1Baylor College of Medicine, Houston, Texas
  • 2University of Colorado School of Medicine and Children’s Hospital Colorado, Aurora
JAMA Otolaryngol Head Neck Surg. 2013;139(9):953-954. doi:10.1001/jamaoto.2013.4050

A female infant approximately a year and a half old presented with a 2-day history of nasal congestion and a rapidly enlarging mass at the nasofacial junction. Her parents denied any history of facial trauma and reported no associated fevers, pain, sore throat, nasal discharge, or epistaxis. Physical examination revealed a 2-cm firm bony lesion of the right medial maxilla inferior to the medial canthus without associated skin changes or fluctuance. There was no cervical lymphadenopathy, and the cranial nerves were grossly intact. Results from the remainder of the head and neck examination were within normal limits.

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