Summary
Objective
The juvenile nasopharyngeal angiofibroma (JNA) is a benign neoplasm that affects mostly
young males. Preoperative embolisation is an accepted treatment to reduce perioperative
bleeding, however, severe complications may accompany these invasive procedures.
Case report
One 14-year-old JNA patient with severe epistaxis was transferred to us for treatment.
Unfortunately, a left middle cerebral artery infarction occurred during the embolisation
procedure. Right side hemiplegia and left eye blindness were noted. Nine months later,
another course of embolisation and surgical treatment was performed, but the presence
of one oronasal fistula was noted after the JNA was successfully excised. A free radial
forearm flap was selected to reconstruct the palate.
Conclusion
Angiography and embolisation carry the risks of accidental infarction. Oronasal fistula
may occur when incising through the ‘embolized palate’. Possible complications should
be discussed with the families in advance. In the case of complications, the medical
team should cooperate and try to prevent morbidity.
Keywords
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Article info
Publication history
Published online: January 22, 2007
Accepted:
October 31,
2006
Received:
February 25,
2006
Identification
Copyright
© 2006 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
