Abstract
Juvenile nasopharyngeal angiofibroma (JNA) is a benign tumor that tends to bleed and occurs in the nasopharynx of pre-pubertal and adolescent males. Surgical therapy is aimed at eradicating or de-bulking the tumour. Approaches range from the lateral rhinotomy, transpalatal, transmaxillary or sphenoethmoidal for small tumors and infratemporal fossa approach when the tumor has a large lateral extension. The midfacial degloving approach, with or without LeFort osteotomy, improves posterior access to the tumor. The facial translocation with Weber-Ferguson incision and coronal or extended anterior subcranial approach facilitates en bloc tumor removal, optic nerve decompression and exposure of the cavernous sinus.
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