The red vascular mass seen in the nasopharynx of this young patient caused nasal onstruction and was treated with nasal steroids before being diagnosed. It is a large juvenile nasopharyngeal angiofibroma....
The hypertrophied posterior end of an inferior turbinate may obstruct the choana the such an extent that severe nasal obstruction results. Note the "mulberry" hypertrophy of the posterior end...
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