Case Series of Pre-Operative Endovascular Embolization of Nasopharyngeal Angiofibroma Using Polyvinyl Alcohol Foam Particle: A Single Centre Experience

Amran, Muhammad Yunus; Bahar, Ashari

doi:10.3889/oamjms.2019.754

Cited by 6 publications

(5 citation statements)

References 8 publications

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“…Same result from other previous research Amran & Ashari, embolization of nasopharyngeal angiofibroma before resection is very useful to reduce perioperative complications of surgery. This procedure can reduce blood loss during tumor resection and provide better results [10]. Tumor staging and intraoperative bleeding are risk factors for residual juvenile nasopharyngeal angiofibroma [11].…”

Section: Discussionmentioning

confidence: 99%

Identifying feeding artery during preoperative embolization of juvenile nasopharyngeal angiofibroma

Bahar¹,

Silalahi²,

Prabowo³

2022

GSC Adv. Res. Rev.

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Treatment of choice and standard of care is surgical resection of the tumor. Nasopharyngeal angiofibromas receive an abundant blood supply mainly from the external carotid branches and partly from the internal carotid artery branches. Many patients are treated with preoperative embolization to minimize the risk of intraoperative hemorrhage and related complications . This retrospective study, we obtained analysis of the medical and imaging records of 11 patients with pathologically proven juvenile nasopharyngeal angiofibroma. Who we performed preoperative endovascular embolization between January 2019 until Desember 202 in Wahidin Sudirohusodo Hospital, Makassar, Indonesia. The procedure was carried out using a cathlab monoplane Philips. A total 11 patients (only 1 female) with juvenile nasopharynx angiofibroma underwent endovascular embolization from 2019-2021 in Wahidin Sudirohusodo Hospital Makassar. Arteriography examination in patients with angiofibroma tumors revealed that the feeding arteries originate from the internal maxillary artery, ascending pharyngeal artery, fascial artery, middle meningeal artery and branches of the internal carotid artery. Identifying the feeding artery before embolization is very important to facilitate the embolization process

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Section: Discussionmentioning

confidence: 99%

Identifying feeding artery during preoperative embolization of juvenile nasopharyngeal angiofibroma

Bahar¹,

Silalahi²,

Prabowo³

2022

GSC Adv. Res. Rev.

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“…In 2019, Amran and Bahar described the significance of preoperative embolization with polyvinyl alcohol in highly vascular tumors, such as nasopharyngeal angiofibroma. This procedure can reduce blood loss during the resection of the tumor [ 7 ]. Hence, preoperative embolization of the feeder's vessel was done with polyvinyl alcohol in our case.…”

Section: Discussionmentioning

confidence: 99%

Juvenile Nasopharyngeal Angiofibroma: An Aberrant Case Report

Jadhav¹,

Khandaitkar²,

Mitra³

et al. 2022

Cureus

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Juvenile nasopharyngeal angiofibroma (JNA) is a very uncommon condition. We are presenting a case of a teenage boy with painless nasal blockage and fullness of bilateral ears for two to three months. On nasal endoscopy, a firm proliferative mass obstructing the right nasal cavity was noted. It was bleeding on touch. On contrast-enhanced computed tomography of the paranasal sinuses (CECT PNS), a diagnosis of the JNA was made based on the evidence of bony erosion and intense post-contrast enhancement. He was pre-operatively locally embolized followed by surgical resection. On follow-up, the patient was stable with no signs of recurrence.

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“…Amran et al [17] demonstrated that the internal maxillary artery (IMA), a branch of the external carotid artery, is the main feeding artery for the JNA.…”

Section: Discussionmentioning

confidence: 99%

The role of combined computed tomographic angiography and digital subtraction angiography in the management of cervico-facial vascular lesions

Kassem

Fathy

Alnekidy

et al. 2021

Egypt J Radiol Nucl Med

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Background Cervicofacial vascular lesions are one of the most challenging diseases managed by intervention radiologists and specialized surgeons. These lesions were diagnosed to be vascular in origin by other imaging techniques such as Duplex and/or magnetic resonance imaging (MRI). All patients underwent computed tomographic angiography (CTA) to confirm the diagnosis as well as to decide the most effective choice of management based on multidisciplinary team (MDT). Then, Digital subtraction angiography (DSA) was done as it is offering an accurate vascular map for the vascular lesions which is inevitable for successful super-selective endovascular embolization which can be done at same sitting. Small cases of arteriovenous malformations (AVMs) were sufficiently managed by only embolization, whereas cases of adequately embolized large AVMs as well as juvenile nasopharyngeal angiofibroma (JNA) cases were followed by surgery with the advantage of less blood loss and decreasing operation time as well as complications. This prospective study was done to highlight the role of combined CTA and DSA in cervicofacial vascular lesion management. Results Twenty patients were included in our study: 16 patients were males, and 4 were females; 17 of them were under 40 years, and three were above 40 years. Preoperative embolization was done in 12 patients, which were all the cases of JNAs and large AVMs. Four patients were managed by only embolization as a definitive treatment. Complete technical success rate was about 94%, while only 6% (single case) of the partial technical success rate which was due to a very small accessory feeder that could not be catheterized even with repeated trials. Conclusions Combined CTA and DSA is the cornerstone for managing vascular lesions in the cervicofacial region, which necessitates a MDT to decide the most beneficial and least complicated way for management.

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Case Series of Pre-Operative Endovascular Embolization of Nasopharyngeal Angiofibroma Using Polyvinyl Alcohol Foam Particle: A Single Centre Experience

Cited by 6 publications

References 8 publications

Identifying feeding artery during preoperative embolization of juvenile nasopharyngeal angiofibroma

Identifying feeding artery during preoperative embolization of juvenile nasopharyngeal angiofibroma

Juvenile Nasopharyngeal Angiofibroma: An Aberrant Case Report

The role of combined computed tomographic angiography and digital subtraction angiography in the management of cervico-facial vascular lesions

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