Juvenile nasopharyngeal angiofibroma (JNA) is an uncommon benign vascular tumour occurring almost exclusively in pre-pubescent or pubescent males. The triad of epistaxis, nasal obstruction and the presence of a nasopharyngeal mass strongly ind`icates an angiofibroma, especially when seen in an adolescent male. It accounts for less than 0.05% of head and neck tumours (Waldman et al, 1981). Its incidence has been stated to be as low as one in 50,000 otolaryngological new patients.[1] Intracranial extension has been observed in 20-30% patients with JNA.[2,3]