Endoscopic resection of juvenile nasopharyngeal angiofibroma

Juvenile nasopharyngeal angiofibromas (JNAs) are rare, benign, but locally invasive vascular lesions that have traditionally been resected using open surgical approaches. However, with the wider availability of superselective intra-arterial embolization, the advent of improved endoscopic, transnasal techniques, and advances in instrumentation, recent years have witnessed a shift toward the use of less invasive, strictly endoscopic methods for the management of such lesions. The purpose of this article is to describe the surgical techniques used in the endoscopic resection of JNAs and to discuss the indications, trends, and current limitations of this approach. As technological advancements and surgical expertise continue to develop, the spectrum of applicability for such endoscopic procedures will undoubtedly broaden to encompass progressively larger, more extensive lesions in the future.