A Case of Surgical Treatment of Juvenile Angiofibroma in the Pterygopalatine Fossa with Endoscopic Transmaxillary Surgery Combined with Endoscopic Intranasal Surgery

Abstract

Juvenile angiofibroma (JAF) is a benign tumor that arises from the sphenopalatine foramen in adolescent males. It accounts for about 0.05% of all head and neck tumors. JAF manifests with a triad of symptoms, including nasal obstruction, epipharyngeal mass lesion, and recurrent epistaxis. Since this tumor frequently invades the surrounding tissues, causing bony destruction, it is not easy to treat the condition surgically without damaging the oropharyngeal function or aesthetics. Herein, we report the case of an 11-year-old boy with JAF who was successfully treated by endoscopic surgery via the transmaxillary approach combined with endoscopic intranasal surgery. Based on this experience, the advantages and disadvantages of the procedure are discussed.