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Keywords:
Ear / Nose / Throat, Interventional vascular, Head and neck, Catheter arteriography, Embolisation, Neoplasia
Authors:
T. Amer, A. Elmokadem, A. M. AbdEl-khalek; Mansoura/EG
DOI:
10.1594/ecr2016/C-0329
Aims and objectives
Juvenile angiofibroma (JAF) is a highly vascular benign tumor of head and neck,
found mainly in adolescent males originated from the superior margin of the sphenopalatine foramen,
usually spread to the pterygopalatine and infratemporal fossae (1).
Intracranial extension of (JAF) occurs in 20 to 36% of patients and is almost always extradural (2).
Tumor extension can occur to the middle cranial fossa and to much lesser extent to anterior cranial fossa.
Extension to the middle cranial fossa can occur via the superior and inferior orbital fissures or directly through the roof of the sphenoid sinus (3).
Direct extension through the cribriform plate to the anterior cranial fossa is uncommon (4).
The most accepted therapeutic method for (JAF) with intracranial extension is surgical resection (5 & 6),
however recurrence of the tumor can be seen in up to 40% of patient due to incomplete resection or removal of the tumor involving the bone (7 & 8).
Furthermore surgical resection may create a dilemma due to excessive bleeding (9). Nicolai et al.,
reported significant complications and intra operative bleeding reduction in patients underwent preoperative embolization,
in addtion to minimizing the risk of residual tumor (10).
This study is a retrospective study constructed to assess the effects of preoperative embolization of juvenile angiofibroma with intracranial extension on terms of intra operative blood loss and local tumor recurrence.