Surgical resection of type III juvenile angiofibroma without preoperative embolization

Transnasal endoscopic management of recurrent juvenile nasopharyngeal angiofibroma

“…In spite of lack of preoperative embolization, control of bleeding was achieved by hypotensive anesthesia, use of bipolar diathermy, and two hand technique. This agrees with ElBanhawy et al [2] who treated stage III JNA without preoperative embolization.…”

“…It accounts for only 0.05% of head and neck tumors and affects only young pubescent males [2]. It originates from the superior margin of the sphenopalatine foramen just posterior to the middle turbinate.…”

Endoscopic assisted antral window approach for type III nasopharyngeal angiofibroma with infratemporal fossa extension

“…Group B showed some adverse events due to midfacial degloving such as nasal valve stenosis, infraorbital anesthesia and prolonged recovery times. These morbidities have been shown to be common with such technique [3,13,22]. Unusual complications such as oroantral fistula and epiphora have also been reported [23].…”

Juvenile Angiofibroma: Current Management Strategies

“…Preoperative embolization is used for all cases of JA except the very small lesions. Advancements in preoperative embolization has resulted in significant reduction in intraoperative bleeding, and despite some reports of safe resection without embolization 12,13 it is considered to be the standard of care at most centers. [14][15][16] The most commonly used approach for embolization is transarterial embolization (TAE).…”