{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T20:58:11Z","timestamp":1790974691413,"version":"4.1.0"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T00:00:00Z","timestamp":1776902400000},"content-version":"vor","delay-in-days":22,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Juvenile nasopharyngeal angiofibroma (JNA) is a histologically benign but highly vascular skull-base tumor classically seen in adolescent males; adult-onset disease is rare and may be overlooked. Reports of JNA presenting in adulthood with recurrence occurring entirely in adulthood remain scarce. We report a 34-year-old man with recurrent left-sided epistaxis and intermittent nasal obstruction three years after endoscopic resection at age 31 for histologically confirmed JNA. Endoscopy demonstrated a soft mass arising from the left sphenopalatine region. CT showed recurrent disease involving the left nasal cavity, maxillary and sphenoid sinuses, with extension into the sphenopalatine\/pterygopalatine fossae and bony erosion (Radkowski IIC). Revision endoscopic coblation-assisted excision with posterior maxillary wall drilling was performed. Significant intraoperative bleeding required selective ligation of external carotid branches (internal maxillary, ascending pharyngeal, and facial arteries) to achieve hemostasis. At 6\u00a0months, the patient remained symptom-free.<\/jats:p>","DOI":"10.1093\/jscr\/rjag293","type":"journal-article","created":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T11:37:00Z","timestamp":1775561820000},"source":"Crossref","is-referenced-by-count":1,"title":["Adult-onset juvenile nasopharyngeal angiofibroma with delayed adult recurrence managed by revision endoscopic resection and external carotid branch ligation"],"prefix":"10.1093","volume":"2026","author":[{"given":"Aditya","family":"Pachwa","sequence":"first","affiliation":[{"name":"Mamata Academy of Medical Sciences , Hyderabad 500118 ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laasya Reddy Arimanda","family":"Chaitanya","sequence":"additional","affiliation":[{"name":"Malla Reddy Institute of Medical Sciences , Hyderabad 500055 ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meghana","family":"Narendula","sequence":"additional","affiliation":[{"name":"Malla Reddy Institute of Medical Sciences , Hyderabad 500055 ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-6635-5226","authenticated-orcid":false,"given":"Lakshya Nehal","family":"Samineni","sequence":"additional","affiliation":[{"name":"College of Medical Sciences , Bharatpur 44600 ,","place":["Nepal"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,4,23]]},"reference":[{"key":"2026042311540867200_ref1","volume-title":"StatPearls","author":"Tork","year":"2025"},{"key":"2026042311540867200_ref2","doi-asserted-by":"publisher","first-page":"021","DOI":"10.1055\/s-0037-1615810","article-title":"Juvenile Angiofibroma: current management 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Otorhinolaryngol"},{"key":"2026042311540867200_ref9","doi-asserted-by":"publisher","first-page":"577","DOI":"10.1055\/s-0038-1676562","article-title":"Recurrence rate after endoscopic vs. open approaches for juvenile nasopharyngeal angiofibroma: a meta-analysis","volume":"80","author":"Reyes","year":"2019","journal-title":"J Neurol Surg B Skull Base"},{"key":"2026042311540867200_ref10","doi-asserted-by":"publisher","first-page":"076","DOI":"10.1055\/s-0040-1716676","article-title":"Effects of preoperative embolization on juvenile nasopharyngeal angiofibroma surgical outcomes: a study of the kids' inpatient database","volume":"83","author":"Choi","year":"2020","journal-title":"J Neurol Surg B Skull Base"},{"key":"2026042311540867200_ref11","doi-asserted-by":"publisher","first-page":"551","DOI":"10.5114\/wiitm.2018.75862","article-title":"A case of nasopharyngeal angiofibroma removed using a minimally invasive endoscopic endonasal 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