Dimitrijevic, Milovan (25642808400)Milovan (25642808400)DimitrijevicPavlovic, Bojan (8212822900)Bojan (8212822900)PavlovicJakovljevic, Sasa (57455265100)Sasa (57455265100)Jakovljevic2025-06-122025-06-122023https://doi.org/10.1097/SCS.0000000000009307https://www.scopus.com/inward/record.uri?eid=2-s2.0-85164254999&doi=10.1097%2fSCS.0000000000009307&partnerID=40&md5=d52ce12c2474f45ab83890aeec02cae9https://remedy.med.bg.ac.rs/handle/123456789/2705Juvenile nasopharyngeal angiofibroma is a rare and highly vascularized tumor that accounts for 0.05 to 0.5% of all head and neck neoplasms. The aim of this work was to present a case of a large recurrent juvenile nasopharyngeal angiofibroma coexisting with a facial lipoma in a 16-year-old boy. The patient was referred to our institution because of frequent unilateral epistaxis. Computed tomography revealed a hypervascular tumor with ethmoidal cell destruction and spread to the nasopharynx. Operative treatment of nasal cavity tumors was carried out using a transpalatal approach. After 6 months, the recurrence of the angiofibroma was verified radiologically. Primary as well as secondary surgical procedures were assisted with an endoscopic procedure. Accurate preoperative assessment and staging are essential for choosing a surgical procedure. The primary treatment is surgical excision. Early diagnosis, accurate staging, adequate treatment, and regular postoperative follow-up are essential in the treatment of these lesions. © 2023 Lippincott Williams and Wilkins. All rights reserved.endoscopic proceduresJuvenilelateral rhinotomylipomanasopharyngeal angiofibromarecurrence