Gelfoam Embolization - A Preoperative Requisite in Patients with Juvenile Nasopharyngeal Angiofibroma: Report of Three Patients
Sanjay Porwal *
Department of Cardiology, JN Medical College, KLE University & KLE's Hospital, Belgaum, Karnataka, India.
Ranjan Modi
Department of Cardiology, JN Medical College, KLE University & KLE's Hospital, Belgaum, Karnataka, India.
Rajsekhar Patil
ENT Department, JN Medical College, KLE University & KLE's Hospital, Belgaum, Karnataka, India.
Harikrishna Damodaran
Department of Cardiology, Pariyaram Medical College, Kannur, Kerala, India.
Nirlep Gajiwala
Department of Clinical Trials, Sahajan and Medical Technologies Pvt. Ltd., Surat, Gujarat, India.
Ashok Thakkar
Department of Clinical Trials, Sahajan and Medical Technologies Pvt. Ltd., Surat, Gujarat, India.
*Author to whom correspondence should be addressed.
Abstract
We present a case series of three patients who were admitted in the ENT department with the complaints of nasal congestion, nasal bleeding and vertigo. Evaluation of these patients revealed juvenile nasopharyngeal angiofibroma. Patients were advised to undergo excision surgery. We performed preoperative gelfoam embolization in each of these patients to reduce the complications of intraoperative bleeding. All surgeries went well and the blood supply to the area was found to be reinitiated within 5–6 days postoperatively. Here, we highlight the importance of preoperative gelfoam embolization for uneventful surgical excision of juvenile nasopharyngeal angiofibroma.
Keywords: Juvenile nasopharyngeal angiofibroma, gelfoam, embolization, tumor, head and neck surgery.