Exclusively endoscopic surgery for juvenile nasopharyngeal angiofibroma.

Objective: To present the indications of nasal endoscopic surgery for treating juvenile nasopharyngeal angiofibroma (JNA).

Study Design: Chart review.

Materials And Methods: Twelve patients underwent nasal endoscopic surgery exclusively to resect JNA from January 2001 to June 2004. According to the classification of Andrews et al, eight patients were stage I and four patients were stage II.

Results: The follow-up was between five and 42 months, and no patient has shown a residual tumor or recurrence to date.

Conclusion: In JNA stages I and II, the endoscopic approach was effective without preoperative arterial embolization. There were no residual tumors or recurrence in this study.

Significance: It seems to be appropriate to reevaluate the surgical limits of endoscopic surgery for resecting JNA.