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
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