Case of IV Stage Juvenile Nasopharyngeal Angiofibroma Presurgically Treated with a Single ECA Stop-Flow Embolization Technique Using Onyx 18.

IF 0.4 Q4 OTORHINOLARYNGOLOGY Case Reports in Otolaryngology Pub Date : 2023-01-01 DOI:10.1155/2023/1351982

Eliodoro Faiella, Domiziana Santucci, Davide Fior, Federica Riva, Chiara Tagliaferri, Laura Demelas, Giovanni D' Aniello, Rosa Maria Muraca, Maurizio Bignami, Lorenzo Paolo Moramarco

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Abstract

Background: Juvenile nasopharyngeal angiofibroma (JNA) is a rare tumor that mainly affects young boys. Its intervention may be complex due to its high vascularity, location, and extension. Preoperative embolization is used to prevent intrasurgical and postsurgical bleeding. Two main kinds of embolization are described in literature: intratumoral and transarterial, and numerous embolic materials are used. Case Presentation. We want to present a case of presurgical embolization of a stage IV JNA, performed using a single stop-flow balloon assisted technique with the balloon cuffed exclusively in the external carotid artery and using Onyx 18 as an embolic agent.

Conclusions: The embolization with an exclusive external carotid artery single stop-flow technique using Onyx 18 is a safe, effective, and a definitive approach.

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欧玛克斯18单次ECA止流栓塞术治疗IV期青少年鼻咽血管纤维瘤1例。

背景:青少年鼻咽血管纤维瘤(JNA)是一种罕见的肿瘤，主要发生在年轻男孩。由于其高血管密度、位置和延伸，其干预可能很复杂。术前栓塞用于预防术中及术后出血。文献中描述了两种主要的栓塞方法:肿瘤内栓塞和经动脉栓塞，并且使用了许多栓塞材料。案例演示。我们想提出一个IV期JNA的手术前栓塞病例，使用单止流球囊辅助技术，球囊仅在颈外动脉内结扎，并使用Onyx 18作为栓塞剂。结论:使用Onyx - 18进行颈外动脉单止流栓塞是一种安全、有效、明确的方法。

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Case Reports in Otolaryngology OTORHINOLARYNGOLOGY-

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