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Importance of pre-operative embolization in the surgery of nasopharyngeal angiofibroma

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Abstract

Juvenile Nasopharyngeal Angiofibroma are rare vasoformative1 neoplasms of the Nasopharynx. Due to innocuous nature of their presenting symptoms, the tumour frequently has extranasopharyngeal extensions at the time of initial diagnosis.

The advances in radiographic CT techniques2 and pre-operative embolization3 have reduced the mortality and morbidity to a great extent. We analysed nine cases of angiofibroma with and without embolization and concluded that preoperative embolization reduces intraoperative blood loss considerably giving excellent surgical clearance of the tumour mass with minimal risk of recurrence.

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References

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    Batsakis JG. (1979): Vasoformative Tumours — Angiofibroma. Tumours of H&N clinical and pathological considerations (pp 296-300).

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    Chandlor JR., Clouding RB (1984): Nasopharyngeal angiofibroma, staging and management. Annals of Otology, Rhinology and Laryngology. 93: 322–329.

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    Natvig K, Skalpe I. O. (1984): Preoperative embolization of JNA with gelfoam. J Laryngology Otol. 84: 829–833.

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    Sessions RB., Bryan RN. (1981): Revised staging of JNA. Journal of Head and Neck Surgery 3: 279–283.

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    Andrews JC., Fisch U. (1989): Surgical management of JNA Laryngoscope 99: 429–437.

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Author information

Correspondence to K. K. Desarda or Pande or M. P. Bora.

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Desarda, K.K., Pande & Bora, M.P. Importance of pre-operative embolization in the surgery of nasopharyngeal angiofibroma. IJO & HNS 50, 36–39 (1998). https://doi.org/10.1007/BF02996767

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Key Words

  • Nasopharyngeal Angiofibroma
  • pre-operative embolization