OBJECTIVE: To review a case of nasopharyngeal angiofibrome in a young patient operated without using embolization. CASE REPORT: Patient, 21 years old, male, query by nasal obstruction and epistaxis on the right side ipsilateral applicant with 5 years of development. Last event of bleeding. On physical examination, what he called attention to posterior rhinoscopy was a mass that occupies the posterior region of the nasopharynx and right nasal choanae. Endoscopy and Computerized Tomography were performed that to which they confirmed the diagnosis of Fish 2 nasopharyngeal angiofibrome. Endoscopic nasal surgery was performed for tumor resection without prior embolization, should have done by opening the maxillary sinus incision Cadwell Luck to cauterize the internal maxillary artery, which formed part of the pedicle of the tumor without complications and minimal blood loss, resulting total resection of the part. Patient goes to the intensive care unit for 24 hours for monitoring. CONCLUSION: This surgery is valid for centers that do not have methods of embolization, but must have certain level of complexity as an intensive care unit to monitor the patient after surgery.