%0 Case Reports %T Combined Direct Tumoral Puncture Embolization with Onyx and Trans-arterial Embolization for JNA. %A Fastenberg JH %A Al-Mulki K %A Chaskes MB %A Tong CCL %A Kutcher Diaz R %A Shah K %A Patsalides A %J Laryngoscope %V 134 %N 8 %D 2024 Aug 15 %M 38747477 %F 2.97 %R 10.1002/lary.31482 %X Onyx is a safe and effective embolic agent to utilize in the treatment paradigm of JNA. We present a tandem approach that combines trans-arterial embolization (TAE) with direct puncture embolization (DPE) with Onyx to limit blood loss and facilitate safe resection. Laryngoscope, 134:3568-3571, 2024.