Endoscopic treatment of juvenile nasopharyngeal angiofibroma

Traditional treatment of juvenile nasopharyngeal angiofibromas (JNAs) has i ncluded open surgical approaches for the majority of tumors. At the Univers ity of Washington Medical Center (UWMC), endoscopic techniques have been us ed for the removal of some small JNAs. This report describes the institutio nal experience in treating these tumors. The medical records of 15 patients at UWMC treated over a 15-year period for JNA were reviewed. Three patient s were treated only by an endoscopic approach, and one patient had a combin ed endoscopic and open procedure. All three of the patients treated only by the endoscopic approach were disease free with a minimum of 24 months foll ow up. The one patient treated with a combined endoscopic and open approach had recurrence of disease. Endoscopic removal after embolization effective ly treated three patients with early stage JNAs. Indications for this proce dure are discussed.