Succo G, Gisolo M, Crosetti E, Bergui M, Danesi G
ENT Department, S Luigi Gonzaga Hospital, University of Turin, Turin, Italy.
Int J Pediatr Otorhinolaryngol. 2013 Apr;77(4):581-4. doi: 10.1016/j.ijporl.2012.12.022. Epub 2013 Jan 9.
Juvenile nasopharyngeal angiofibroma (JNA) is a benign vascular tumor occurring in young males. Surgery for giant JNA is a complex procedure, with a high risk of major complications. We report a rare case of massive epistaxis in a 15-year-old boy resulting from spontaneous rupture of the intracavernous tract of the internal carotid artery 20 days after resection of a giant JNA by midface degloving. The event was managed by an emergency arteriography with coils selectively deployed to occlude the vessel and to stop hemorrhage. This treatment has been shown to be effective in producing immediate hemostasis and stable long-term occlusion.
青少年鼻咽血管纤维瘤（JNA）是一种发生于年轻男性的良性血管肿瘤。巨大JNA的手术是一个复杂的过程，主要并发症风险高。我们报告一例罕见病例，一名15岁男孩在经面中部揭翻术切除巨大JNA后20天，因颈内动脉海绵窦段自发破裂导致大量鼻出血。该事件通过紧急动脉造影术进行处理，选择性地部署弹簧圈以闭塞血管并止血。已证明这种治疗在立即止血和实现稳定的长期闭塞方面是有效的。
