Incidental finding of juvenile angiofibroma from pre‐orthodontic radiographs: two case reports and a literature review

This case series presents two asymptomatic cases of juvenile angiofibroma which were initially incidentally identified in pre‐orthodontic radiographs. Juvenile angiofibroma is an uncommon, locally aggressive benign, vascular neoplasm with invasive growth patterns. Due to the hypervascularity of these tumours, there are biopsy associated risks and multi‐slice computed tomography, magnetic resonance imaging and angiography are usually employed for diagnosis. Early pre‐symptomatic identification of this lesion facilitates early management and limiting potential life‐threatening complications. This highlights the importance of thorough interpretation of dental radiographs, including the evaluation of structures which are not in the primary region of interest. © 2022 Australian Dental Association