Efficacy of selective percutaneous embolization for the treatment of intractable posterior epistaxis and juvenile nasopharyngeal angiofibroma (JNA)

Acta Oto-laryngologica
Francisco SantaolallaJose Maria Sanchez

Abstract

Percutaneous embolization reduces the reappearance of epistaxis and the mean length of hospital stay for patients with intractable epistaxis or juvenile nasopharyngeal angiofibroma (JNA). To assess whether percutaneous embolization is effective for the treatment of intractable epistaxis and JNA. Twenty-eight patients with intractable posterior epistaxis treated by embolization (25 males; m = 59.78 years; SD = 14.3) and 28 unembolized patients (24 males; m = 59.21 years; SD = 15.13) were studied retrospectively. Eight patients with JNA (all males; mean = 16.5 years; SD = 2.35; four embolized before surgery and four unembolized) were also analyzed. Embolization was bilateral in 71.4% of subjects, blood transfusion was required in 28.57%, incidence of complications was 53.57%, and seven of the embolized patients with intractable epistaxis suffered from recurrence of the epistaxis. There were no statistically significant differences between the embolized and unembolized groups. The mean hospital stay was longer in unembolized patients (4.46 days; SD = 2.42) than for the embolized patients (3.78 days; SD = 3.9), p=0.394. The most serious complications occurred in patients embolized with idiopathic epistaxis and the mean post-emboliz...Continue Reading

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Citations

Jul 5, 2011·Journal of Neurosurgery. Pediatrics·M Yashar S KalaniIman Feiz-Erfan
Feb 16, 2017·Head & Neck·Fernando LópezAlfio Ferlito
Oct 4, 2017·The British Journal of Radiology·Anthony E RobinsonTejinder P Singh
Jun 30, 2011·American Journal of Rhinology & Allergy·Alan H ShikaniMohannad A Alqudah
Dec 27, 2019·The Annals of Otology, Rhinology, and Laryngology·Justin YuK Kelly Gallagher
Dec 7, 2018·Current Opinion in Otolaryngology & Head and Neck Surgery·Giacomo BertazzoniPiero Nicolai
Aug 14, 2021·International Journal of Pediatric Otorhinolaryngology·Christopher PoolMichele M Carr

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