carotid artery embolisation prior to the surgical removal of the lesion. Weber-Ferguson approach was adopted to achieve satisfactory exposure, and the defect on the facial region was restored with a monocortical cancellous iliac graft. Results: The lesion had been successfully removed, and aesthetically acceptable. Currently, six-months postoperatively, there is minimal scar of the flap incision, normal sensory and motor functions and no signs of recurrence. Conclusion:The presentation of the lesion is distinct from the conventional facial angiofibroma because of its single rather than multiple and enormous in spite of tiny size. Thus, a differential diagnosis of juvenile nasopharyngeal angiofibroma should not be excluded. The lesion warrants regular follow-up due to inability to surgically remove tumour wholly due to deep invasion of the sphenoid or high tumour growth rate of 10-36%.

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