Juvenile nasopharyngeal angiofibroma (JNA) is a benign vascular tumor located on part posterior nasopharynx And foramen sphenopalatine. JNA very much rare where incident tumor This only covering 0.05% until 0.5% from all over tumor head and neck. The prevalence of JNA in the United States is estimated at only 0.4 per million population. Although JNA can happen on all age, However incident JNA highest found in male patients aged 7 to 29 years old. 1.2 Therefore disease This quite rare, no data related to JNA epidemiology was found in Indonesia.
Although nature benign, JNA can threaten life Because its nature Which very aggressive where 10-37% of cases involve cranial and orbital invasion. This cranial and orbital invasion can cause various morbidities, including nasal cavity obstruction, recurrent epistaxis, facial deformity, proptosis, blindness, and cranial nerve paralysis. In addition, this vascular mass is very easy to bleed where large JNA masses may even have more than one feeding artery so that the diagnosis and management of JNA becomes a challenge. 3,4
Biopsy is contraindicated in JNA cases and surgery or angiography-embolization is the only option that can be used to establish a definitive diagnosis and management in JNA cases. Therefore, careful clinical and radiological assessment will be very helpful in establishing a diagnosis. diagnosis and determination of appropriate surgical management. 5,6 By Due to the limited availability of literature related to JNA in Indonesia, the author aims to present diagnosis And Treatment from A case JNA on patient pediatrics aged 13 years at Prof. Dr. IGNG Ngoerah General Hospital, Denpasar, Bali, Indonesia.