The use of coblation technique for the debulking of juvenile angiofibroma

In this paper, we describe how we successfully debulked a large juvenile nasopharyngeal angiofibroma (JNA) in a 15-year-old boy using the coblation technique. The child had been complaining about recurrent epistaxis and persistent nasal obstruction for several months. JNA is a rare benign tumor that predominantly affects adolescent and young adult males. JNAs exhibit gradual progression, local expansion, high vascularity, and a notable tendency for persistence and recurrence. Due to their high vascularity, JNAs require surgical removal, and treatment commonly includes preoperative embolization and endoscopic methods. Complete tumor resection is the gold standard treatment. Tumor manipulation can lead to substantial bleeding due to its rich blood supply and lack of surface muscle fibers. Using the coblation technique for tumor debulking offers distinct advantages, including better control of blood loss, reduced thermal damage, improved visibility of the surrounding area, better postoperative recovery, and less resection of vital anatomical structures.