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Category: Volume 10 Issue 02 February 2022
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Title: Role of Preoperative Embolisation in Endoscopic Excision of Juvenile Nasopharyngeal Angiofibroma

Authors: K. Athiyaman M.S. ENT, M. Gowri Shankar M.S. ENT D.L.O, DNB, Vineeth. S

 DOI: https://dx.doi.org/10.18535/jmscr/v10i2.27

Abstract

Juvenile nasopharyngeal angiofibroma is a unique benign vascular tumor accounting for less than 1 % all head and neck tumors which is almost exclusively present in adolescent males. Objective of this study is to bring before the role of preoperative embolisation in endoscopic excision of juvenile nasopharyngeal angiofibroma at a tertiary care hospital. This is a retrospective study from the clinical data from the patients treated for JNA tumors from 2017-2020 at a tertiary care hospital. The tumour was staged according to Fisch system and clinical presentation, local examination, nasal endoscopy findings, radiological findings, approach of surgical resection, complications and recurrence were noted.  In our study, we have found that among total 10 cases, mean age of presentation was 15.8 years and about 80% of the patients had stage I or stage II disease. Preoperative embolisation was carried out in all patients 24 hours prior to surgery. The endoscopic endonasal approach was choice of surgery in all. Intraoperative blood loss was found to be around 380 ml. In conclusion, Preoperative embolisation has reduced the blood loss during surgery and need for multiple blood transfusions and has reduced ICU stay post operatively.

Keywords: Juvenile Nasopharyngeal Angiofibroma; Preop embolization; Endoscopic endonasal surgery; Rhinology.

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Corresponding Author

K Athiyaman M.S. ENT

Associate Professor of Otorhinolaryngology and Head and Neck Surgery, Department of Otorhinolaryngology and Head and Neck Surgery, Govt Stanley Medical College and hospital, Chennai-600001