A five-year experience in endoscopic endonasal excision of juvenile nasopharyngeal angiofibroma

Introduction: Juvenile nasopharyngeal angiofibroma (JNA) is a histological benign but locally aggressive vascular tumour which can invade the base of skull. Aim: This retrospective study with aim to examine outcome patients JNA and endoscopic endonasal excision at tertiary center in Malaysia. Material methods: 9 were identified from medical record office 2015 2019. We review data on patient demographics, clinical presentations, laboratory investigations, intraoperative blood loss duration hospital stay. Results discussion: 8 male, 1 was female. The average age diagnosis 15 (range 11 29) years. commonest chief complaint recurrent epistaxis, followed by nasal obstruction discharge. Three stage I, 4 II, III IV based Fisch classification. All underwent primary no vascular, ophthalmological or neurological complication. Seven had preoperative embolization done. Average operation time 137 minutes 60–360 minutes). Intraoperative lost varied 500 mL 1300 (mean 777.7 mL). discharged well recurrence. Conclusions: management be challenging. current shift favouring reduces postoperative morbidity. It possible applied all stages good success rate.