Maqsood Ahmed, Ali Akhter, Razia Kousar, Sohail Qadir, Tahir Rasheed, Aamir Ayoob

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Per-Operative Bleeding in Juvenile Nasopharyngeal Angiofibroma after Pre-Operative Embolization

Maqsood Ahmed, Ali Akhter, Razia Kousar, Sohail Qadir, Tahir Rasheed, Aamir Ayoob



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ABSTRACT

 

Background: Juvenile nasopharyngeal angiofibroma (JNA) is very rare and benign neoplasm of vascular system.It occurs almost in complete nasopharynx of teenageboys. The place of JNA origin is still debatable.

Aim: To study the mean per-operative bleeding in juvenile nasopharyngeal angiofibromas with preopembolization.

Methods: This descriptive cases series was conducted at Department of ENT, Lahore General Hospital, Lahore for 6 months. A total of 35 cases were included in this study. Embolization was done 23 hours before surgery and gel foam (spongeston) was used for embolization. The amount of per-operative bleeding was recorded on proforma. Per operative bleeding was recorded as per operational definition.

Results: All patients were male, aged between 15 and 25 years with mean age of 18.69±3.46 years. 15 patients (42.8%) were presented as stage I to II and 20 patients (57.2%) were presented as stage III. 17 patients (48.6%) were having size of tumour between 2-4 cm and 18 patients (51.4%) were having tumour size between 5-6 cm. Mean amount of per-operative bleeding (mL) was 748.56±204.89. Mean size of tumour was 5.03±2.05 cm.

Conclusion: In conclusion, mean per-operative bleeding in juvenile nasopharyngeal angiofibromas with pre-operative embolization was 748.56±204.89mL.

Keywords: Juvenile nasopharyngeal angiofibroma, Pre-operative embolization, Per-operative bleeding



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