Gelfoam Embolization - A Preoperative Requisite in Patients with Juvenile Nasopharyngeal Angiofibroma: Report of Three Patients
Sanjay Porwal, Ranjan Modi, Rajsekhar Patil, Harikrishna Damodaran, Nirlep Gajiwala, Ashok Thakkar
Journal of Advances in Medicine and Medical Research · pp. 730–734 · Published 5 Jan 2015
10.9734/BJMMR/2015/14452Abstract
We present a case series of three patients who were admitted in the ENT department with the complaints of nasal congestion, nasal bleeding and vertigo. Evaluation of these patients revealed juvenile nasopharyngeal angiofibroma. Patients were advised to undergo excision surgery. We performed preoperative gelfoam embolization in each of these patients to reduce the complications of intraoperative bleeding. All surgeries went well and the blood supply to the area was found to be reinitiated within 5–6 days postoperatively. Here, we highlight the importance of preoperative gelfoam embolization for uneventful surgical excision of juvenile nasopharyngeal angiofibroma.
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