Nasopharyngeal Angiofibroma Surgery Package
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Written & reviewed by Vikram Kashyap, Medical Consultant, Satyug Healthcare
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| Surgery Name | Cost | Room | Hospitalization |
|---|---|---|---|
| Nasopharyngeal Angiofibroma Surgery Package | $2746 | Single | Patient - 3 days stay in a single room. |
✓ Inclusion
- ✔Consultation with a senior ENT / skull base surgeon
- ✔Diagnostic nasal endoscopy
- ✔Routine pre-operative tests: blood tests, blood grouping, ECG and chest X-ray
- ✔Endoscopic endonasal excision of the angiofibroma
- ✔Surgeon, assistant and anaesthesia fees
- ✔Operation theatre, endoscopy equipment and routine consumables
- ✔3 days hospital stay in a single room
- ✔Nursing care, routine medicines and diet in hospital
- ✔Histopathology of the removed tumour
- ✔One post-operative nasal endoscopy and crust cleaning visit
- ✔Free: airport pick-up & drop, visa invitation letter, interpreter & coordinator (Satyug Healthcare)
✗ Exclusion
- ✖CT, MRI and CT/DSA angiography scans
- ✖Pre-operative embolisation and its materials
- ✖Blood and blood products
- ✖Open, combined or skull base surgery for advanced tumours
- ✖ICU stay or extra hospital days
- ✖Navigation system or special haemostatic materials if needed
- ✖Radiotherapy
- ✖Medicines after discharge
- ✖Hotel stay, food, local travel, flights and attendant's expenses
Know More About Procedure & Surgery
🇮🇳 ENT PACKAGE — INDIA
Juvenile Nasopharyngeal Angiofibroma Surgery in India
Endoscopic, scarless removal of juvenile nasopharyngeal angiofibroma (JNA) – a bleeding, non-cancerous tumour at the back of the nose in teenage boys – by experienced ENT and skull base surgeons at accredited Indian hospitals, at a fraction of Western costs.
✅ Free Medical Opinion in 48–72 h👃 Endoscopic, No Face Scar💰 Starting USD 2,746✈️ Visa & Airport Support🗣️ Interpreter Available
⏱️
2–4 hrs
Surgery time
🏥
3 days
Hospital stay
📈
80–95%
Cure (early stage)
📅
10–14 days
Total stay in India
📖 What is Nasopharyngeal Angiofibroma?
The nasopharynx is the space at the very back of the nose, above the throat. A juvenile nasopharyngeal angiofibroma (JNA) is a rare tumour that grows there. It is benign (not cancer and does not spread to other organs), but it is full of blood vessels, so it bleeds easily and can grow into the sinuses, cheek, eye socket and skull base. It occurs almost only in boys and young men, usually between 10 and 20 years of age, and makes up less than 0.5% of all head and neck tumours.
Treatment is surgical removal of the whole tumour. Today most JNAs are removed by endoscopic endonasal surgery – through the nostrils with a thin camera, without cutting the face. Because the tumour is so full of blood, many patients first have pre-operative embolisation, where a radiologist blocks the feeding blood vessels through a thin tube from the groin 24–72 hours before surgery, to reduce bleeding. Very large tumours may need an open or combined approach.
🖼️ Understand It in Pictures
💡 In simple words
JNA is a non-cancerous tumour full of blood vessels at the back of the nose. It mostly affects teenage boys. It can block the nose and cause heavy nosebleeds. The tumour's blood supply is usually blocked first, then it is removed, often through the nose with a camera.
Tumour at the back of the nose and after removal
👀 Symptoms in Pictures
🎬 The Treatment Journey in Pictures
📅 Recovery at a Glance
🩺 Conditions Treated
👃
Early-stage JNA
Tumour limited to the nose and nasopharynx – removed fully through the nose.
🗺️
JNA in the sinuses
Tumour spreading into the maxillary, ethmoid or sphenoid sinuses.
😮
JNA in the cheek space
Spread into the pterygopalatine and infratemporal fossa behind the cheek.
👁️
JNA near the eye
Tumour reaching the eye socket, causing bulging eye or double vision.
🧠
Skull base extension
Advanced tumours touching the skull base, needing expert skull base teams.
🔁
Recurrent or residual JNA
Tumour left behind or regrown after earlier surgery.
⚠️ Symptoms of Nasopharyngeal Angiofibroma
- ➤Repeated, heavy nosebleeds
- ➤Blocked nose, usually one side
- ➤Nasal or blocked-sounding voice
- ➤Snoring or mouth breathing
- ➤Ear blockage or hearing loss
- ➤Swelling of the cheek
- ➤Bulging eye or double vision
- ➤Headache or facial pain
💡 Surgery is the main treatment for JNA – medicines cannot remove it. Radiotherapy is kept for tumours that cannot be removed safely, such as those deep inside the skull, and very small leftover tumours are sometimes watched with regular MRI scans. A biopsy is usually NOT done before surgery because it can cause dangerous bleeding; diagnosis is made with scans.
🔬 Tests Before Treatment
| Test | Why it is done |
|---|---|
| Nasal endoscopy | A thin camera shows a red, smooth mass at the back of the nose. |
| Contrast CT scan of nose and sinuses | Shows bone erosion and the tumour's spread – used for staging. |
| MRI with contrast | Shows soft-tissue spread to the eye, cheek and skull base. |
| CT or DSA angiography | Maps the blood vessels feeding the tumour; DSA is used for embolisation. |
| Blood tests and blood grouping | Check haemoglobin and clotting; blood is kept ready for surgery. |
| Hearing and eye tests (if needed) | Check ear and vision effects of the tumour. |
🏥 The Procedure — Step by Step
1
Admission and planning
You are admitted, scans are reviewed and blood is arranged.
2
Pre-operative embolisation
If advised, an interventional radiologist blocks the tumour's feeding vessels 24–72 hours before surgery.
3
General anaesthesia
You are fully asleep; blood pressure is kept slightly low to reduce bleeding.
4
Endoscope through the nose
A thin camera and fine instruments are passed through the nostrils – no cuts on the face.
5
Creating access
Part of the back of the nasal wall and sinus is opened to reach the full tumour.
6
Tumour separation
The tumour is freed from surrounding areas, and its main feeding vessel is controlled.
7
Complete removal
The tumour is removed whole or in parts, including any extensions into the cheek or sinuses.
8
Bleeding control
Bleeding is stopped, and nasal packing or dissolving material is placed.
9
Monitoring
You are watched in recovery or HDU; packing is removed after 1–2 days.
10
Discharge
After about 3 days you go home with nasal saline washes and medicines.
⚖️ Types & Techniques
| Technique | What is done | Best for |
|---|---|---|
| Endoscopic endonasal excision | Tumour removed through the nostrils with a camera | Most early and moderately advanced JNAs |
| Pre-operative embolisation | Feeding arteries blocked through a groin catheter before surgery | Most JNAs, to reduce blood loss |
| Open approaches (midfacial degloving, Weber-Ferguson) | Access through the mouth or a cut beside the nose | Very large tumours not reachable through the nose |
| Combined endoscopic and open / skull base surgery | ENT and neurosurgery teams work together | Tumours reaching inside the skull |
| Radiotherapy | Focused radiation to stop tumour growth | Unresectable or residual tumour near vital structures |
📊 Reviews of endoscopic surgery for JNA (e.g. Boghani et al., Laryngoscope 2013) report recurrence of roughly 10% after endoscopic removal, lower than open approaches, with recurrence mostly linked to advanced stage and skull base involvement.
📅 Your Day-by-Day Plan in India
| Day | What happens |
|---|---|
| Day 1 | Arrival in India ✈️, airport pick-up and hotel check-in |
| Day 2 | ENT consultation, nasal endoscopy and review of CT and MRI |
| Day 3 | Angiography and embolisation if advised; admission |
| Day 4 | Endoscopic tumour removal surgery 🏥 |
| Day 5–6 | Hospital stay (3 days): monitoring, nasal pack removal, discharge |
| Day 7–10 | Hotel rest; nasal saline washes; crust cleaning visit |
| Day 11–12 | Endoscopic check and histopathology report review |
| Day 12–14 | Fit-to-fly review and fly home ✈️ |
🌱 Recovery After Treatment
🤧
Days 1–3
Blocked nose and mild blood-stained discharge; packing removed in 1–2 days.
💧
Week 1
Nasal saline washes several times a day; avoid blowing the nose hard.
🏠
Week 2
Crusts cleaned by the surgeon; light activities and studies can restart.
🏫
Weeks 2–3
Return to school or work; avoid sports and heavy lifting.
⚽
Weeks 4–6
Return to sports and normal activities; nose breathing improves.
🩻
Months 3–6
First follow-up MRI to check for any leftover tumour.
🏆 Success Rate
| Outcome | Result |
|---|---|
| Complete removal, early-stage tumours | About 90–95% |
| Recurrence after endoscopic surgery | About 10% (5–25%, higher in advanced stages) |
| Blood loss reduction with embolisation | Often about 50% less |
| Return to school or work | About 2–3 weeks |
Results are best for smaller tumours and when the whole tumour, including the part in the sphenoid bone base, is removed. Advanced tumours touching the skull base have a higher chance of leftover or regrowth, so regular MRI follow-up is important.
🩹 Risks & Possible Complications
JNA surgery is delicate because the tumour bleeds heavily; an experienced team and embolisation keep risks low.
- •Bleeding during surgery, sometimes needing blood transfusion – common in large tumours
- •Leftover or recurring tumour – about 10%, usually within 1–2 years
- •Nasal crusting, dryness or adhesions – common, settles over weeks
- •Nosebleed after discharge – uncommon
- •Numbness of the cheek or upper teeth – usually temporary
- •Rare embolisation problems (stroke, vision problems) – under 1%
- •Rare eye or skull base injury, or spinal fluid leak in advanced cases
💰 Cost of JNA Surgery in India
The cost of nasopharyngeal angiofibroma surgery in India starts from about USD 2,746. This covers endoscopic removal of the tumour, surgeon and anaesthesia fees, a 3-day stay in a single room, routine medicines and the biopsy report. Embolisation, blood transfusion and open or skull base surgery for large tumours cost extra.
| Option / Hospital tier | Approx. cost (USD) | Hospital stay | Notes |
|---|---|---|---|
| Endoscopic JNA excision (this package) | 2,746 | 3 days, single room | Early to moderate stage tumour |
| Pre-operative angiography + embolisation | 1,200 – 2,000 | Adds 1 day | Done 24–72 hours before surgery |
| Endoscopic excision + embolisation, advanced tumour | 4,500 – 6,500 | 4–6 days | Sinus and cheek extension |
| Combined open / skull base surgery | 6,000 – 9,000 | 5–7 days | Tumour reaching the skull base |
⚠️ Final cost depends on the stage of the tumour, need for embolisation and blood transfusion, surgical approach, hospital and room category. Quotes are confirmed after the specialist examines the patient in India.
📋 What the Package Includes
✅ Included
- ✔Endoscopic tumour removal
- ✔Surgeon and anaesthesia fees
- ✔3-day stay in a single room
- ✔Operation theatre and consumables
- ✔Routine medicines and nursing care
- ✔Histopathology report
- ✔Nasal endoscopy follow-up visit
- ✔Free airport pick-up, visa letter and interpreter
❌ Not Included
- ✖Angiography and embolisation
- ✖Blood transfusion
- ✖CT, MRI or angiography scans
- ✖Open or skull base surgery
- ✖Extra hospital or ICU days
- ✖Medicines after discharge
- ✖Hotel, flights and food
- ✖Attendant's stay and meals
✈️ Your Medical Travel Process with Satyug Healthcare
| Step | Details |
|---|---|
| 1. Send reports | Contrast CT of the nose and sinuses and MRI with contrast (images on CD or link), any nasal endoscopy video or report, haemoglobin level, details of nosebleeds and blood transfusions, the patient's age, and reports of any previous surgery or embolisation. |
| 2. Free opinion & quotes | Within 48-72 hours you receive opinions and cost estimates from 3-5 leading hospitals to compare. |
| 3. Choose hospital & doctor | We help you compare doctors, success rates, room options and total budget. |
| 4. Medical visa | The hospital issues a Visa Invitation Letter (VIL) to the Indian Embassy. The patient and up to 2 attendants apply for an e-Medical / Medical Attendant visa. |
| 5. Travel planning | Flight guidance, wheelchair assistance, airport pick-up, hotel or guest house near the hospital. |
| 6. Treatment in India | Your coordinator and interpreter stay with you for admission, treatment, discharge and billing. |
| 7. Return & follow-up | Fit-to-fly letter, medicines, and online follow-up with your doctor after you return home. |
🎒 Travel Checklist
- 📌Valid passport (6+ months) for the patient and attendants, plus 10 passport-size photos each
- 📌Medical visa / e-visa and the hospital’s Visa Invitation Letter
- 📌All CT, MRI and angiography scans on CD / link, endoscopy reports, blood tests and prescriptions
- 📌Yellow fever vaccination certificate (mandatory for travellers from African countries)
- 📌Polio vaccination certificate where applicable
- 📌Declare cash above USD 5,000 at the airport; hospitals accept wire transfer and cards
- 📌Foreigners staying longer than permitted must register with the FRRO — our team assists
⭐ Why Choose Satyug Healthcare?
🏥
Top Accredited Hospitals
Leading ENT and skull base centres such as Medanta – The Medicity, Max Super Speciality Hospital Saket, Fortis Memorial Research Institute Gurugram, Indraprastha Apollo Hospital, Sir Ganga Ram Hospital, Artemis Hospital and BLK-Max Super Speciality Hospital, all with interventional radiology for embolisation.
👨⚕️
Senior Specialists
Our partner ENT surgeons are fellowship-trained in endoscopic sinus and skull base surgery and work with interventional radiologists and neurosurgeons for complex JNA cases.
💵
Transparent Pricing
Multiple written quotes to compare — no hidden charges, no extra fee for our service.
🤝
End-to-End Support
Visa, airport pick-up, accommodation, interpreter and 24/7 coordinator.
❓ Frequently Asked Questions
➤ How much does JNA surgery cost in India?
Endoscopic surgery for nasopharyngeal angiofibroma starts from about USD 2,746 in India. With embolisation and for advanced tumours the total is about USD 4,500–6,500. In the USA it can cost USD 35,000 or more.
➤ Is nasopharyngeal angiofibroma cancer?
No. JNA is a benign tumour and does not spread to other organs. But it can grow into nearby areas and bleed heavily, so it must be removed.
➤ Who gets JNA?
JNA occurs almost only in boys and young men, usually between 10 and 20 years old. It is thought to be linked to hormones during puberty.
➤ Will there be a scar on the face?
In most cases no. The tumour is removed through the nostrils using an endoscope, so there are no cuts on the face. Only very large tumours may need an open approach.
➤ What is embolisation and is it needed?
Embolisation blocks the tumour's blood vessels using a thin tube from the groin, 24–72 hours before surgery. It reduces bleeding during the operation and is advised for most JNAs, especially larger ones.
➤ How long will we stay in hospital and in India?
The hospital stay is about 3 days (1 more day if embolisation is done). Plan to stay in India for about 10–14 days so the surgeon can clean the nose and check healing.
➤ Is the surgery painful?
The surgery is done under general anaesthesia. Afterwards there is mild pain, nose blockage and headache for a few days, controlled with simple medicines.
➤ Can the tumour come back?
Yes, in about 10% of patients after endoscopic surgery, more often in advanced tumours. This is why MRI scans are done after 3–6 months and then yearly for a few years.
➤ When can my son go back to school?
Most boys return to school in 2–3 weeks. Sports and heavy exercise should wait about 4–6 weeks.
➤ Will he need radiotherapy?
Usually not. Radiotherapy is only used if part of the tumour cannot be removed safely or keeps coming back.
➤ Can a biopsy be done first?
A biopsy is usually avoided because the tumour bleeds heavily. The diagnosis is made from the typical age, symptoms, endoscopy and scans, and confirmed after removal.
➤ How many attendants can come with the patient?
Parents or one to two family members can travel on a medical attendant visa. We provide the visa invitation letter.
➤ What follow-up is needed at home?
Nasal saline washes for several weeks, then MRI with contrast at 3–6 months and yearly scans. Our surgeons review the scans online with your local ENT doctor.
➤ Will we get an interpreter?
Yes. Free interpreters for Arabic, French and Portuguese are available throughout the stay.
💬 Get a Free Opinion & Cost Estimate
Send your medical reports today and receive opinions from India’s top specialists within 48-72 hours.
📞 +91-8860606766 | +91-9910655125 | ✉️ query@satyughealthcare.com
Medical disclaimer: This page is for general information and does not replace a consultation with a qualified specialist. Treatment plans and costs are confirmed only after the patient is examined. Sources: NCBI StatPearls: Juvenile Nasopharyngeal Angiofibroma; Cleveland Clinic: Juvenile Nasopharyngeal Angiofibroma; Johns Hopkins Medicine: Juvenile Nasopharyngeal Angiofibroma; American Academy of Otolaryngology–Head and Neck Surgery patient information; Boghani Z et al., Laryngoscope 2013 (systematic review of endoscopic vs open JNA surgery); Radkowski staging system. Infographics: Satyug Healthcare.
Frequently Asked Questions
Most nasopharyngeal angiofibromas are removed by endoscopic endonasal surgery: through the nostrils with a thin camera, without cutting the face. Because the tumour is full of blood vessels, its feeding vessels are often blocked first (pre-operative embolisation) 24–72 hours before surgery to reduce bleeding. Very large tumours may need an open or combined approach.
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Nasopharyngeal angiofibroma (JNA) surgery in India from USD 2,746. Scarless endoscopic removal by expert ENT surgeons, free opinion, visa & interpreter help.
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