Hameed Dikhil Hussein Al shammary
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Outcomes of Preoperative Embolization of Juvenile Nasopharyngeal Angiofibroma Sajad Younis Al-Helo; Hameed Dikhil Hussein Al shammary; Raman Agab Aljanabi; Hibba Khalil Ibrahim
Indian Journal of Forensic Medicine & Toxicology Vol. 15 No. 2 (2021): Indian Journal of Forensic Medicine & Toxicology
Publisher : Institute of Medico-legal Publications Pvt Ltd

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37506/ijfmt.v15i2.14897

Abstract

Background: These are rare fibro-vascular neoplasms, out of all head and neck tumors, JNA contributingfor only less than 0.5%. JNA incidence rate almost 1/150,000 and affects men and adolescents’ malesObjectives: To study outcome and the role of Pre-operative Embolization of surgeries for JuvenileNasopharyngeal Angiofibroma.Methods: A retrospective cross sectional study conducted at Al-Sader Medical City during the period 2010through 2020 included 15 male patients who were managed for JNA, in whom embolization was performedpreoperatively.Results: The study included 15 male patients with an average age of 16.4 ± 3.1 (standard deviation) (range:11-22) years. The duration of the procedure is 126 minutes, on average and ranged 75 to 180 minutes;Average intra-operative blood loss was 300 (range: 150-750) ml. The postoperative hospitalization periodwas 2 days in 14 cases and a recurrence rate of 13.3% was reported.Conclusions: The use of preoperative embolization in JNA patients has been very beneficial in shorteningsurgery time, improve bloodless of the operative site, with a significant reduction in intraoperative bloodloss, reduction in postoperative hospitalization time, and reduction in recurrent rate.