A clinical case of simultaneous embolisation and endoscopic removal of juvenile angiofibroma at the cranial base

Juvenile nasopharyngeal angiofibroma is a benign vascular tumour, mainly in young patients. There are several theories regarding the origin of this type of tumour, but the accepted treatment tactic is radical removal. The complexity of surgical intervention is associated with pronounced vascularisation of the formation, which leads to severe intraoperative blood loss. The development of surgical techniques from open resections to endoscopic interventions made it possible to reduce the volume of blood loss and the next step was the use of preoperative arterial embolisation of the tumour. Our clinical example demonstrates the safety and efficacy of simultaneous implementation of JNA embolisation and endoscopic resection under intraoperative MSCT control.