Endoscopic approach to a Radkowski IIB juvenile angiofibroma

Abstract

The origin of juvenile angiofibroma is usually around the region of the maxillary artery, and the surgical ma­nage­ment of large tumors can be challenging. Traditional ap­proaches to advanced tumors involved open transfacial or transcranial microscope-assisted surgery. Advances in en­do­na­sal endoscopic techniques have made endonasal en­do­sco­pic approaches to the pterygopalatine fossa and in­fra­tem­po­ral possible. Endoscopes allow for greater mag­ni­fi­ca­tion and visualization of complex anatomy, and endoscopic approaches allow the surgeon to avoid ma­ni­pu­la­tion of the osseous midfacial structures that may result in cra­nio­fa­cial abnormalities in this adolescent population.