PDF(Pubmed)
Abstract：
We describe the first case of juvenile nasopharyngeal angiofibroma receiving blood supply from caroticotympanic artery which resulted in catastrophic bleeding intraoperatively. The patient was an 12-year-old boy with a Radkowski stage 3B JNA. We utilized preoperative embolization of feeders from external carotid artery though the surgeon failed to excise the tumor completely due to uncontrollable bleeding from the tumor. On retrospective analysis of angiography only the culprit feeder found. Tumor was excised in the second surgery conducted a week later. Although selective embolization of ICA branches are described in literature the data are sparse and so is the management of such cases.
摘要：
我们描述了第一例青少年鼻咽血管纤维瘤从促鼓室动脉接受血液供应，导致术中大出血。患者是一个12岁的男孩，患有Radkowski3BJNA。尽管外科医生由于无法控制的肿瘤出血而未能完全切除肿瘤，但我们利用了颈动脉外动脉的进料器的术前栓塞。在血管造影的回顾性分析中，仅发现了罪魁祸首。在一周后进行的第二次手术中切除肿瘤。尽管文献中描述了ICA分支的选择性栓塞，但数据很少，此类病例的处理也是如此。
