CC BY-NC-ND 4.0 · The Arab Journal of Interventional Radiology 2018; 02(03): S27-S28
DOI: 10.1055/s-0041-1730721

Presurgical Embolization of Nasopharyngeal Angiofibroma: Finding Predominant Arterial Feeder

Shahzad Karim Bhatti
Lahore General Hospital, Lahore, Pakistan
Umair Rashid
Lahore General Hospital, Lahore, Pakistan
› Author Affiliations

Background: Juvenile nasopharyngeal angiofibroma (JNA) Nasopharyngeal angiofibroma is a benign fibrovascular tumor affecting young adolescent boys, originating from the posterolateral wall of the nasal cavity. The young patients mostly present with chronic epistaxis, nasal obstruction, rhinorrhea, conductive hearing, and diplopia. The aim of the study is done to find the predominant arterial feeder during presurgical embolization of juvenile nasopharyngeal angiofibroma to reduce blood loss and intraoperative time during surgery. Methods: Four-vessel angiography (digital-subtraction angiography) was done in all patients including internal and external carotid angiography with superselective angiography of vessel-supplying tumor. Presurgical embolization of 150 patients done with spongostone in angiography suit of Neuroradiology Department, Lahore General Hospital, Lahore, Pakistan, with age ranging from 12 to 18-year males from January 2012 to June 2016. All patients underwent surgery within 24 h. Results: Out of 150 patients, internal maxillary artery was supplying 111 patients, 30 were supplied by accessary meningeal artery, and 9 were supplied by ascending pharyngeal artery. Presurgical embolization with spongostone proved significant reduction in intraoperative blood loss and reduced surgical resection time. Conclusion: Internal maxillary artery proved to be the major feeder supplying JNA. Presurgical embolization appears to be the treatment of choice prominently reducing intraoperative blood loss and minimizing the need of blood transfusion with short intraoperative time, resulting in quick and better surgery.

Publication History

Article published online:
11 May 2021

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