Preoperative embolization of nasopharyngeal angiofibromas: The role of direct percutaneous injection of cyanoacrylate glue in conjunction with particulate endovascular approach

Kasem, Mohamed; Awad, Ahmed; Bosraty, Hussam Al Dein Mahmoud Al; Kamel, Ayman Ismail

doi:10.1016/j.ejrnm.2016.09.001

Cited by 6 publications

(3 citation statements)

References 13 publications

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“…(15) However, Mistry, Rajesh C., et al The average blood loss was 828 ml (range 535-1570), which is higher than our study due to using different surgical approaches and selecting advanced stages. (16) Operative Time…”

Section: Blood Lossmentioning

confidence: 99%

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Outcomes of Preoperative Embolization of Juvenile Nasopharyngeal Angiofibroma

Sajad Younis Al-Helo,

Hameed Dikhil Hussein Al shammary,

Raman Agab Aljanabi

et al. 2021

Indian Journal of Forensic Medicine & Toxicology

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Background: These are rare fibro-vascular neoplasms, out of all head and neck tumors, JNA contributing for only less than 0.5%. JNA incidence rate almost 1/150,000 and affects men and adolescents' males Objectives: To study outcome and the role of Pre-operative Embolization of surgeries for Juvenile Nasopharyngeal Angiofibroma. Methods:A retrospective cross sectional study conducted at Al-Sader Medical City during the period 2010 through 2020 included 15 male patients who were managed for JNA, in whom embolization was performed preoperatively. Results:The study included 15 male patients with an average age of 16.4 ± 3.1 (standard deviation) (range: 11-22) years. The duration of the procedure is 126 minutes, on average and ranged 75 to 180 minutes; Average intra-operative blood loss was 300 (range: 150-750) ml. The postoperative hospitalization period was 2 days in 14 cases and a recurrence rate of 13.3% was reported. Conclusions:The use of preoperative embolization in JNA patients has been very beneficial in shortening surgery time, improve bloodless of the operative site, with a significant reduction in intraoperative blood loss, reduction in postoperative hospitalization time, and reduction in recurrent rate.

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Section: Blood Lossmentioning

confidence: 99%

“…(12) Another study by Kasem, M, et al around 120 minutes. (16) A study done by Gemmete, J. J., et al using direct percutaneous embolization with onyx only. The result was slightly higher than our result due to use of Onyx only.…”

Section: Blood Lossmentioning

confidence: 99%

Outcomes of Preoperative Embolization of Juvenile Nasopharyngeal Angiofibroma

Sajad Younis Al-Helo,

Hameed Dikhil Hussein Al shammary,

Raman Agab Aljanabi

et al. 2021

Indian Journal of Forensic Medicine & Toxicology

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“…JNAs are highly vascular tumors receiving blood supply mainly from the branches of the ipsilateral external carotid artery. Large tumors receive blood supply from the branches of the contralateral external carotid artery and rarely from the internal carotid artery [ 6 ]. Because of being hypervascular, there is a high risk of massive blood loss during surgery.…”

Section: Introductionmentioning

confidence: 99%

Single-Center Experiences of Preoperative Juvenile Nasal Angiofibroma Embolization With Gelfoam, Reducing Financial Burden on Patients in Developing Country

Iqbal

Fazal

Rashid

et al. 2021

Cureus

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IntroductionJuvenile nasal angiofibroma (JNA) is a highly vascular tumor of the nasopharynx. Endovascular embolization followed by surgery is the treatment of choice. This study aimed to determine that single catheter technique with Gelfoam is an effective and safe technique for embolization to reduce the financial burden on patients in a developing country. Materials and methodsWe retrospectively reviewed the imaging, surgical, and histopathological records of 108 patients who underwent preoperative endovascular tumor embolization followed by surgical resection between March 2017 and March 2021. ResultsAfter embolization no major complication was observed in any patient. Complete devascularization of tumor was done in 87.8%. Intraoperative blood loss resulting in transfusion was almost the same as with other embolization techniques. ConclusionSingle catheter with Gelfoam is a cost-effective and safe technique for JNA embolization.

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Embolization in Juvenile Nasopharyngeal Angiofibroma Surgery: A Systematic Review and Meta‐Analysis

et al. 2023

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Objective To compare outcomes of juvenile nasopharyngeal angiofibroma (JNA) resection between embolized and non‐embolized cohorts, and between transarterial embolization (TAE) and direct puncture embolization (DPE). Data Sources Per PRISMA guidelines, PubMed, Embase, Web of Science, Scopus, and Cochrane databases were searched for publications prior to or in 2021. Materials and Methods Original English manuscripts investigating the resection of JNA with and without preoperative embolization were included. Embolization type, recurrence rate, complication rates, blood loss, and transfusions were extracted. Risk of bias was assessed by the Risk of Bias in Non‐randomized Studies—of Interventions method. Results There were 61 studies with 917 patients included. Preoperative embolization was performed in 79.3% of patients. Of those embolized, 75.8% (N = 551) underwent TAE and 15.8% (N = 115) underwent DPE. JNA recurrence in embolized patients was lower than in non‐embolized patients (9.3% vs. 14.4%; odds ratio [OR]: 0.61, 95% confidence interval [CI]: 0.35, 1.06). DPE resulted in lower rates of disease recurrence (0% vs. 9.5%; OR: 0.066, 95% CI: 0.016, 0.272) and complications (1.8% vs. 21.9%; OR: 0.07, 95% CI: 0.02, 0.3) than TAE. A random effects Bayesian model was performed to analyze the difference in mean blood loss in 6 studies that included both embolized and non‐embolized patients. This analysis showed a mean reduction in blood loss of 798 mL in the embolized group. Conclusions We found embolization decreases blood loss in JNA resection. DPE led to improved recurrence and complication rates when compared to TAE, but future prospective studies are needed to further evaluate which embolization technique can optimize outcomes in JNA. Level of Evidence NA Laryngoscope, 133:1529–1539, 2023

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Preoperative embolization of nasopharyngeal angiofibromas: The role of direct percutaneous injection of cyanoacrylate glue in conjunction with particulate endovascular approach

Cited by 6 publications

References 13 publications

Outcomes of Preoperative Embolization of Juvenile Nasopharyngeal Angiofibroma

Outcomes of Preoperative Embolization of Juvenile Nasopharyngeal Angiofibroma

Single-Center Experiences of Preoperative Juvenile Nasal Angiofibroma Embolization With Gelfoam, Reducing Financial Burden on Patients in Developing Country

Embolization in Juvenile Nasopharyngeal Angiofibroma Surgery: A Systematic Review and Meta‐Analysis

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