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2018, Number 1

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Anales de Radiología México 2018; 17 (1)

Interdisciplinary management of juvenile nasopharyngeal angiofibroma: presurgical embolization, surgical approach, and analysis of the literature

Peraza-McLiberty RA, Cortés-Benavides MC, Guerrero-Avendaño GML, Enríquez-García R, Graniel-Palafox LE

Language: Spanish
References: 32
Page: 20-29
PDF size: 796.88 Kb.


ABSTRACT

Introduction: Juvenile nasopharyngeal angiofibroma (JNA), also called nasopharyngeal angiofibroma, is a benign, highly vascularized tumor, usually seen in male adolescents and boys. It shows highly aggressive behavior due to local invasion and is associated with several symptoms. JNA originates in the sphenopalatine foramen, causing nosebleed and nasal obstruction. The surgical approach is complicated due to the large volume of associated bleeding. Presurgical embolization largely reduces the volume of bleeding and facilitates extirpation of the tumor.
Objective: To present data on bleeding, surgical time, recovery time, and complications associated with the procedure and describe the embolization technique.
Methods: Forty-nine patients were included, who were managed with embolization and conventional surgical treatment. The subjects’ mean age was 15 years, and all subjects were male.
Results: Mean blood loss was 1,400 ml, less than that reported in the global literature for surgery without prior embolization; recovery time was shorter and only one complication was reported in the 49 patients treated.
Conclusions: Joint management of nasopharyngeal tumors with selective embolization and subsequent surgical management offers better results in terms of bleeding and recovery time and minimizes the risk of complications.


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