Juvenile nasopharyngeal angiofibroma is a source of controversy with respect to therapy because of the many therapeutic modalities that exist, such as classic surgical techniques and newer techniques like nasal endoscopic surgery, which have emerged with the advent of new and better diagnostic techniques. Endoscopic surgery is less aggressive and produces less morbidity, but its use often depends on the size and extension of the tumor. A clinical case is presented with the subsequent diagnostic steps and surgical treatment. Rigid endoscopy was used for double cynoacrylate embolization, by angiography before operation and intratumoral injection during surgery.