Objectives: To describe the surgical handling of juvenile nasopharyngeal angiofibroma, both approach and anesthesia, to demonstrate compromise and staging and to determine complications and recurrence of juvenile angiofibroma using Le Fort I approach. Design: Retrospective descriptive study. Setting: Head and Neck Surgery Department, Hospital Dos de Mayo. Participants: Patients with pathology confirmed juvenile nasopharyngeal angiofibroma. Interventions: We reviewed all the cases with surgery for juvenile nasopharyngeal angiofibroma confirmed by pathology between January 1993 and December 2006. Main outcome measures: Surgical results, blood loss, complications. Results: We had 29 cases in the study period, all men, with average age 19,2 years, age rank 13 to 27 years. Most cases were from Lima (34%) and Cajamarca (17%). We report 90% of cases catalogued as Chandler III, 7% as Chandler IV...