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Case Reports
. 2023 Dec 15;19(3):859-862.
doi: 10.1016/j.radcr.2023.11.066. eCollection 2024 Mar.

Presurgical embolization of nasopharyngeal fibroma: A case report

Moustapha Diallo  1 , Abdoulaye Dione Diop  2 , Cheikh Ahmedou Lame  3 , Cheikhna Ba Ndiaye  3 , Ndeye Isseu Amar  1 , Mame Diarra Bousso Ndaw  1 , Aminata Diack  1 , Ababacar Mbengue  1 , Abdoulaye Ndoye Diop  4
Affiliations
Case Reports

Presurgical embolization of nasopharyngeal fibroma: A case report

Moustapha Diallo et al. Radiol Case Rep. .

Abstract

Nasopharyngeal fibroma (NF) is a rare nasopharyngeal tumor of a benign histological nature but with local aggressiveness. It is a hypervascular tumor and the main feeding artery comes from the internal maxillary artery. Surgery is the treatment of choice for this tumor but carries a significant risk of bleeding from surgical treatment. Thus, embolization carried out preoperatively effectively reduces intraoperative bleeding and thereby allows complete resection for large tumors.

Keywords: Nasopharyngeal fibroma; Presurgical embolization; Resorbable gelatin.

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Figures

Fig 1:
Fig. 1
MRI and CT of the facial: axial T2-weighted sections with fat suppression (A), T1-weighted images with fat suppression and gadolinium injection (B), and axial CT section after injection: Left endonasal mass in T2 hypersignal and intensely enhanced after injection (short arrow), extending towards the nasopharynx and with a maxillary intrasinus component. Note the inflammatory retention in the left maxillary sinus (curved arrow) and the extension to the right nasal cavity (double arrow).
Fig. 2:
Fig. 2
Subtraction angiography of the left internal maxillary artery: tumor blush projecting from the nasal cavity (double arrow), disappearing after embolization (single arrow).
Fig. 3:
Fig. 3
Surgical specimens after complete excision showing partial devascularization of the FNP.
See this image and copyright information in PMC

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