Juvenile Nasophryngeal Angiofibroma,New Aspects in Management

Document Type : Original


1 Otorhinolaryngology Research Center, Amir-A’lam Hospital, Tehran University of Medical Sciences, Tehran, Iran

2 Department of otorhinolaryngology, Tehran University of Medical Sciences, Tehran, Iran


Juvenile nasopharyngeal angiofibroma (JNA) is a rare, benign and locally invasive tumor. Massive bleeding because of vascularity of tumor and postoperative recurrence are potential problems of management. Endonasal approach reduces the rate of postoperative recurrence, intraoperative bleeding, and complications of surgery, time of operation and duration of hospitalization. In this article, we review the indications and contraindications of endoscopic surgery, indications of radiotherapy in treatment of JNA and our policy in postoperative follow-up and management of patients.