PREOPERATIVE EMBOLIZATION TREATMENT FOR HYPERVASCULARITY TUMOR OF THE HEAD AND NECK REGION

Ngọc Cương Nguyễn1,, Tuấn Linh Lê1, Tiến Lưu Đoàn 2
1 Hanoi medical university hosital
2 Hanoi medical university

Main Article Content

Abstract

Objectives: to report the imediated results of pre-operative embolization the hyper vascular tumors at the head and neck region. Materials and methods: 22 patients including juvenile nasopharyngeal angiofibroma, carotid body tumor, metastasis and mandibular tumor were undergone embolization for operated resection. Results: nearly and total occlusion of feeding vessels archived in 100% patients with embolic material included particles, glue and coil. Angiographic feature showed hyper vascular within the tumors in both arterial and venous phase. There was one patient with pseudo aneurysm and one other with arteriovenous fistular in the tumor. 100% feeding arteries come from external carotid artery while 2 patients had additional supply from internal carotid artery. No major complication was encountered. There were minor complication including pain after procedure (n=5), facial swelling (n=3). Conclusion: pre-operative embolization for the hyper vascular tumor at the head and neck region is safe and effective method that should be applied 1 – 3 day before operation.

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References

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