Embolization of Internal Carotid Artery Branches in Juvenile Nasopharyngeal Angiofibroma.
Adolescent
Adult
Angiofibroma
/ therapy
Angiography
Blood Loss, Surgical
Carotid Artery, External
/ surgery
Carotid Artery, Internal
/ surgery
Child
Embolization, Therapeutic
/ methods
Feasibility Studies
Female
Humans
Male
Nasopharyngeal Neoplasms
/ therapy
Preoperative Care
/ methods
Retrospective Studies
Treatment Outcome
Young Adult
Juvenile nasopharyngeal angiofibroma
embolization
external carotid artery
inferolateral trunk
internal carotid artery
internal maxillary artery
meningohypophyseal trunk
vidian artery
Journal
The Laryngoscope
ISSN: 1531-4995
Titre abrégé: Laryngoscope
Pays: United States
ID NLM: 8607378
Informations de publication
Date de publication:
03 2021
03 2021
Historique:
received:
09
01
2020
revised:
15
07
2020
accepted:
29
08
2020
pubmed:
2
10
2020
medline:
4
3
2021
entrez:
1
10
2020
Statut:
ppublish
Résumé
Preoperative embolization of juvenile nasopharyngeal angiofibroma (JNA) is usually performed by the occlusion of branches of the external carotid artery (ECA). However, a significant proportion of JNAs also receive blood from the internal carotid artery (ICA). The objective of this study was to report on the feasibility and clinical impact of superselective embolization of ICA branches in complex cases of JNA. This was a single-center retrospective study of all patients operated on for JNA between 2000 and 2018. The patients treated with embolization of branches of the ICA were identified. The results in terms of complications, intraoperative blood loss, and rate of residual disease were analyzed and compared to those of a control group of patients treated only with embolization of ECA branches and matched by age, stage, angiographic pattern, surgical approach, and previous surgery. Ninety-two patients were included. Embolization of branches of the ICA was attempted in 14 cases of advanced or recurrent tumors and was ultimately possible in nine cases. There were no complications after embolization. The mean intraoperative blood loss was 1428 mL. Residual disease was found in three cases (33%). There was no significant difference compared with the control group (mean intraoperative blood loss = 1355 mL, residual disease = 4 (44%); all P > .05). In this retrospective study, we report the feasibility of superselective embolization of ICA branches in selected cases of JNA. There was no observed benefit of this technique in terms of intraoperative bleeding or decreased risk of residual disease. 4 Laryngoscope, 131:E775-E780, 2021.
Types de publication
Evaluation Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
E775-E780Informations de copyright
@ 2020 The American Laryngological, Rhinological and Otological Society, Inc.
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