Juvenile Nasopharyngeal Angiofibroma

Juvenile nasopharyngeal angiofibroma is a tumor that develops in the nasopharynx of adolescents and young males. According to MedScape, this tumor can bleed, which is why it is so dangerous.

In general, juvenile nasopharyngeal angiofibroma is a rare tumor. It accounts for 0.05% of all head tumors. Angiofibroma can develop between the ages of 7 and 19 and only in male nose. Otolaryngologic problems have been reported in patients with angiofibroma. The exact cause of juvenile nasopharyngeal angiofibroma has not yet been determined.

It has been suggested that hormonal imbalances may lead to the development of this tumor. There is 2 evidence for this: juvenile nasopharyngeal angiofibroma develops only in men and only during or before puberty. Further research is being conducted to determine what hormonal changes can lead to the development of this rare tumor. Juvenile nasopharyngeal angiofibroma is most often a nasal mass that develops in the nasopharynx.

In rare cases, a tumor may develop in the orbital region. It has been reported that patients with juvenile nasal angiofibroma suffer from severe otitis media before tumors were diagnosed. Some patients also had a blockage in their Eustachian tube.


  • Pain in the nose;
  • Inability to completely inhale through the nose;
  • A feeling of obstruction in the nasal cavity;
  • Headache;
  • Swelling in the nose.


During a general examination, the doctor will check the person’s nasal cavity and feel any strange, heavy masses. The doctor will also ask if the patient has had any ear infections in the past. A hormone test can determine if there is a hormonal imbalance. Imaging techniques such as CT and MRI can identify the tumor and determine its exact location along with its size.

Types of treatment

Surgery is a procedure used to remove a tumor as well as a nasal obstruction so that the patient can breathe normally. The Gamma Knife is a high-tech surgical procedure used to remove a tumor without an open incision. Radiation therapy is a procedure used to shrink and irradiate a tumor as much as possible. It can be used before or after surgery. Hormone therapy is used if the patient has a hormonal imbalance that needs to be adjusted to remove the tumor.