Juvenile angiofibroma: major and minor complications of preoperative embolization

Introduction: Juvenile angiofibromas (JA) are highly vascular, benign tumours for which surgery is the treatment of choice. In most services, embolisation is performed prior to resection. Nevertheless, there are few data on the complications of preoperative embolisation for JA. Aim: To describe major and minor complications of preoperative embolisation in a 32-year experience of patients undergoing surgical resection of JA at a tertiary hospital. Methods: Retrospective chart review study of 170 patients who underwent surgical resection of JA at a tertiary hospital between September 1976 and July 2008. Results: All patients were male. Age ranged from 9 to 26 years. Ninety-one patients had no complications after embolisation. Overall, 105 complication events occurred of which four major and 101 minor. Conclusion: In our series, preoperative embolisation for JA produced no irreversible complications and no aesthetic or functional sequelae. The vast majority of complications were transient and amenable to clinical management.

Palavras-chave

angiofibroma, embolisation, complications, preoperative

URI

https://observatorio.fm.usp.br/handle/OPI/882

Referências

Alves ERA, 2006, ARQ INT OTORRINOLARI, V10, P162
Christensen NP, 2005, OTOLARYNG HEAD NECK, V133, P748, DOI 10.1016/j.otohns.2005.07.041
Cody II DT, 1998, OTOLARYNGOLOGY HEAD, V2, P883
DEVRIES N, 1986, J LARYNGOL OTOL, V100, P207
DJINDJIAN R, 1976, ANN OTO-LAR CHIR C-F, V93, P23
DJINDJIA.R, 1973, NEURORADIOLOGY, V6, P143
DJINDJIA.R, 1973, NEURORADIOLOGY, V6, P20
Douglas Richard, 2006, Curr Opin Otolaryngol Head Neck Surg, V14, P1, DOI 10.1097/01.moo.0000188859.91607.65
Fagan JJ, 1997, HEAD NECK-J SCI SPEC, V19, P391, DOI 10.1002/(SICI)1097-0347(199708)19:5<391::AID-HED5>3.0.CO;2-V
GAY I, 1983, J LARYNGOL OTOL, V97, P651
GULLANE PJ, 1992, LARYNGOSCOPE, V102, P928, DOI 10.1288/00005537-199208000-00014
Gupta AK, 2008, J LARYNGOL OTOL, V122, P1185, DOI 10.1017/S002221510700148X
Ikram Mubasher, 1999, JPMA (Journal of the Pakistan Medical Association), V49, P201
Li JR, 1998, EUR ARCH OTO-RHINO-L, V255, P430, DOI 10.1007/s004050050092
Lund VJ, 2010, RHINOLOGY, V48, P1001
MCCOMBE A, 1990, Rhinology (Utrecht), V28, P97
Moreau S, 1998, LARYNGOSCOPE, V108, P887, DOI 10.1097/00005537-199806000-00018
MOULIN G, 1995, CARDIOVASC INTER RAD, V18, P158
Onerci M, 2005, INT J PEDIATR OTORHI, V69, P423, DOI 10.1016/j.ijporl.2004.10.015
Park SH, 2001, KOREAN J OTOLARYNGOL, V44, P64
Petruson K, 2002, ACTA OTO-LARYNGOL, V122, P96, DOI 10.1080/00016480252775814
Pryor SG, 2005, LARYNGOSCOPE, V115, P12017
Santaolalla F, 2009, ACTA OTO-LARYNGOL, V129, P1456, DOI 10.3109/00016480902725221
SINILUOTO TMJ, 1993, ARCH OTOLARYNGOL, V119, P837
SINILUOTO TMJ, 1993, J LARYNGOL OTOL, V107, P514
STRUTZ J, 1990, ARCH OTOLARYNGOL, V116, P697
Tewfik TL, 2009, JUVENILE NASOPHARYNG
Tseng EY, 1998, LARYNGOSCOPE, V108, P615, DOI 10.1097/00005537-199804000-00028
Ungkanont K, 1996, HEAD NECK-J SCI SPEC, V18, P60, DOI 10.1002/(SICI)1097-0347(199601/02)18:1<60::AID-HED8>3.0.CO;2-X
VITEK JJ, 1991, RADIOLOGY, V181, P113
Zahringer M, 2005, ORL J OTO-RHINO-LARY, V67, P348, DOI 10.1159/000090047
Zimmer LA, 2006, H N SURG OTOLARYNGOL, P447

Coleções

Artigos e Materiais de Revistas Científicas - FM/MOF
Artigos e Materiais de Revistas Científicas - HC/ICESP
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - HC/InCor
Artigos e Materiais de Revistas Científicas - HC/InRad
Artigos e Materiais de Revistas Científicas - LIM/32

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