Juvenile nasopharyngeal angiofibroma involving the cavernous sinus: Does surgery have a role?

Summary 

Juvenile nasopharyngeal angiofibroma involving the cavernous sinus poses a difficult dilemma. In the UKJ practice, radiotherapy is often recommended but has significant implications due to tumour volume and patient age. We present two cases of JNA involving the cavernous sinus treated by surgical excision. The surgical approaches and literature are discussed. In these cases, it was possible to separate the disease from the cavernous sinus without neurological sequelae. In advanced juvenile nasopharyngeal angiofibroma involving the cavernous sinus, surgical treatment remains an important option.

Keywords: Angiofibroma, Sinonasal tumours, Cavernous sinus