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January 1986

Resident's Page

Author Affiliations

University of Virginia School of Medicine, Charlottesville

Arch Otolaryngol Head Neck Surg. 1986;112(1):108-111. doi:10.1001/archotol.1986.03780010110022

PATHOLOGIC QUIZ CASE 1  Marc H. Klau, MD, Eugene N. Myers, MD, PittsburghA 52-year-old man in good general health had right-sided facial pain and an abscess of the right maxillary second molar. He had no history of nasal obstruction, epistaxis, facial swelling, or sinus or dental disease. The patient was suspected of having maxillary sinusitis and sinus roentgenograms were performed. The right maxillary sinus was thought to be opacified. The patient was taken to the operating room, where an antral puncture was performed with a trochar through the inferior meatus. Brisk bleeding occurred, with a loss of 500 mL of blood. Both posterior and anterior nasal packs were required to control the bleeding. A biopsy specimen was obtained from the lateral nasal wall and was interpreted as angiofibroma. Angiogram results were normal, with no tumor blush. A computed tomographic scan was performed (Fig 1). The nasal packs were slowly