Juvenile Nasopharyngeal Angiofibroma is a rare tumor in adolescent males. This book, the first of its kind devoted to the management of this tumor, is based on Dr N. Janakiram's paradigm shifting management technique for these highly vascular tumors.


These tumors have always been a challenge for skull-base surgeons globally. Classical approaches for managing them comprised employing the endoscopic approach for small tumors and invasive approaches for large ones. Dr Janakiram's methodology employs the minimally invasive endoscopic approach for all stages of these tumors, except those which have massive intracranial extensions or have extensions into the parapharyngeal space which cannot be accessed by the endoscopic technique.


In detailing the new approach, this volume also offers a new classification for different stages of these tumors and explains surgical techniques for managing them. This meets a long-standing requirement as the classification had remained incomplete because of the lack of adequate number of reported cases globally.


This book, authored by some of the pioneers of this field, has the following salient features:


Systematic organization of content and wide coverage of topics: from frequently performed procedures to complex, challenging surgeries, surgical approaches and technical maneuvers.

Complete explanation of latest endoscopic techniques and optimal utilization of new technologies.

Coverage of all stages of juvenile nasopharyngeal angiofibroma, based on a new endoscopic staging system.


Step-by-step detailing of different types of surgical procedures, with lucid descriptions and vivid, high-resolution images and illustrations to aid comprehension.

Associate editor: Peter-John Wormald, Shilpee Bhatia Sharma