Hilton Vieira Madeira Tiago, Meneghelli Galvão Gonçalves Augusto, Viguini Tolentino Correa Amanda, Oliveira Ramalho Clauder, Nascimento Ottoni Alexandre
Neurosurgery and Interventional Neuroradiology, Hospital Santa Rita de Cássia, Vitória, BRA.
Interventional Neuroradiology, Hospital Santa Rita de Cássia, Vitória, BRA.
Cureus. 2023 Jun 26;15(6):e40984. doi: 10.7759/cureus.40984. eCollection 2023 Jun.
Juvenile nasopharyngeal angiofibroma (JNA) is a rare and locally aggressive tumor that commonly presents with painless nasal obstruction and severe, recurrent epistaxis. In this case report, we describe the successful management of a Radkowski stage IIIA JNA with extensive arterial supply from the internal carotid artery (ICA). Transnasal direct puncture embolization using Onyx (Medtronic, Minneapolis, Minnesota) was employed to effectively devascularize the tumor, enabling radical surgical resection in a single piece via endonasal and transmaxillary endoscopic approaches. The patient did not require blood transfusion and was discharged without neurological impairment. The effectiveness of preoperative embolization as a treatment strategy for JNA is also discussed.
青少年鼻咽血管纤维瘤（JNA）是一种罕见的、具有局部侵袭性的肿瘤，通常表现为无痛性鼻塞和严重的反复鼻出血。在本病例报告中，我们描述了一例Radkowski IIIA期JNA的成功治疗，该肿瘤由颈内动脉（ICA）提供广泛的动脉血供。采用Onyx（美敦力公司，明尼阿波利斯，明尼苏达州）经鼻直接穿刺栓塞术有效使肿瘤血管减少，从而能够通过鼻内和经上颌窦内镜手术整块切除肿瘤。患者无需输血，出院时无神经功能损害。我们还讨论了术前栓塞作为JNA治疗策略的有效性。
