Juvenile nasal angiofibroma (JNA) - review of management with a special focus on surgical approach and resection

Juvenile Nasal Angiofibroma is a condition which almost exclusively occurs in young males who present with features of nasal obstruction and epistaxis. Over the past few decades there has been a paradigm shift in how we manage this condition with changes in diagnostic criteria, imaging modalities, staging as well as surgical approaches. Endoscopic and Endoscopic Assisted resection techniques have been increasingly popular over the past two decades and have shown to decrease surgical time, post-operative stay as well as intraoperative blood loss. It is our recommendation that future surgeons be adequately exposed and trained in endoscopic resection techniques of angiofibroma, as the authors believe, given the data at hand that this is the way forward.