A 9-year-old patient presented with progressive nasal obstruction, heavy snoring, episodes of sleep apnea, and recurrent nosebleeds.
MRI revealed a large juvenile nasopharyngeal angiofibroma — a benign but highly vascular lesion filling the nasopharynx and extending into the nasal cavities, which explained the patient's symptoms.
As part of surgical planning, a diagnostic cerebral angiography was performed to identify the arteries supplying the tumor. A selective embolization of its main feeding vessels was then carried out to significantly reduce bleeding during surgery.
Our team is a referral center for the treatment of this condition through endoscopic endonasal surgery. This technique allows the tumor to be removed through the nasal cavities, without incisions or scars on the face and avoiding, in most cases, the need for craniotomies or open facial approaches.
