*10.1.1.5 Craniofacial resection*

A combination of infratemporal fossa approach and transfacial approach is required in certain cases with advanced stage angiofibromas [52]. This approach allows access to the infratemporal fossa, middle and anterior cranial fossa, and entire cavernous sinus (both medial and lateral aspects). An added enhanced exposure to the nasopharynx, paranasal sinuses and pterygopalatine fossa facilitates complete tumor excision. Facial skeletal growth retardations and facial asymmetry is rare [53].
