POSTERS images and videos to outline the disparity between clinical signs and pathology in this individual case. Results: The CT imaging of this patient demonstrates intracanulicular juvenile angiofibroma within the vidian canal without an intranasal component. This was safely but incompletely removed via an endonasal approach with preoperative embolization. Surveillance imaging allowed detection of residual tumor, which may be removed via a mid-facial degloving approach at a subsequent procedure. Conclusion: Vigilance should be exercised when assessing and investigating patients with subtle signs and symptoms but typical demographic for intra-nasal juvenile angiofibroma. Safe endoscopic removal after embolization can be performed with open surgery reserved for residual or recurrences noted on surveillance imaging.
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