A 9 year boy presents with nasal obstruction, proptosis, recurrent epistaxis from 3-4 years. Management includes -a) Routine radiological investigationsb) Embolisation alone should be donec) Surgery is treatment of choiced) Embolisation followed by surgerye) Conservative management is sufficient

Nasal obstruction, proptosis and recurrent epistaxis from 3-4 years in a 9 years boy suggest the diagnosis of nasopharyngeal angiofibroma. Routine radiological investigations e.g., soft tissue lateral film of nasopharynx; X-rays of paranasal sinus and base of skull; and CT scan (investigation of choice) should be done. Surgery is the treatment of choice. Preoperative embolization and cryotherapy reduce the vascularity and therefore blood loss at surgery.