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Korean Journal of Otorhinolaryngology-Head and Neck Surgery > Volume 32(1); 1989 > Article
Korean Journal of Otorhinolaryngology-Head and Neck Surgery 1989;32(1): 48-54.
Transarterial Embolization of Nasopharyngeal Angiofibromas
Moon Hee Han, MD1, Kee Hyun Chang, MD1, Sang Hoo Park, MD2, and Yang Gi Min, MD2
1;Department of Radiology, 2;Otolaryngology, College of Medicine, Seoul National University, Korea
비인강 혈관섬유종의 경동맥 색전술
한문희1 · 장기현1 · 박상후2 · 민양기2
서울대학교 의과대학 방사선과학교실1;이비인후과학교실2;
ABSTRACT

Nasopharyngeal angiofibromas are benign, vascular and locally aggressive neoplasms that are preferrably treated by surgical resection. For the devascularization of the tumor before the surgery, arterial embolization was performed in 22 consecutive patients. Ipsilateral internal maxillary artery was the tumor supplying vessel in all cases and ipsilateral ascending pharyngeal artery supply was accompanied in 13 cases. Contralateral supply was demonstrated in 4 cases and internal carotid, middle meningeal and accessory meningeal arteries were also noted as tumor feeder partly. 140-250μm sized PVA particle was used as embolic material in all cases after superselection of supplying vessel as much as possible. Complete embolization of all supplying vessels was possible in 16 cases, 15 of whom subsequently underwent surgery and mean intraoperative estimated blood loss was 410ml. Blood loss of incompletely embolized 4 cases was 1325ml. Cerebral infarction occurred in one case due to reflux of singificant amount of embolic material during procedure, and transient complications were encountered in eleven patients and were regressed without specific treatment.

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