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  • 标题:Central retinal artery occlusion following embolization in juvenile nasopharyngeal angiofibroma: A case report
  • 作者:Pantelić, Jelica ; Karadžić, Jelena ; Kovačević, Igor
  • 期刊名称:Vojnosanitetski pregled
  • 印刷版ISSN:0042-8450
  • 出版年度:2018
  • 卷号:75
  • 期号:10
  • 页码:1041-1044
  • DOI:10.2298/VSP160620388P
  • 出版社:Military Medical Academy, INI
  • 摘要:Introduction. Juvenile nasopharyngeal angiofibromas are highly vascular, locally aggressive lesions, that affect male adolescents. The surgery is the treatment of choice, although it shows a strong propensity to bleed during surgical removal. Preoperative embolization enables the surgical approach in a less bloody way and also a complete resection of the tumor. However, this procedure is not without complications. The most severe complication of this technique is a migration of an embolus into the intracranial circulation. Case report. We present a 9-year-old boy who lost vison on his left eye following preoperative embolisation of juvenile nasopharyngeal angiofibromas as a result of central retinal artery occlusion. A recent review of the literature reported only three previously documented cases of central retinal artery occlusion occurring after embolization for a nasopharyngeal angiofibroma. We want to point out the possibility of this rare but devastating complication and the importance of rapid and accurate diagnosis and treatment so that a visual outcome could be better when applying an early medical treatment. Conclusion. Described case of central retinal artery occlusion is a rare and unusual, iatrogenic vascular event, that could arise as a complication from embolisation of nasopharingeal tumors. However, physicians (ophthalmologists and ear-nose-throat surgeons) should be aware od this devastating complication, and the close evaluation of angiograms for detection of any vascular abnormality before and during the embolization is crucial.
  • 关键词:nasopharyngeal neoplasms; angiofibroma; child; diagnosis; embolization; therapeutic; otorhinolaryngologic surgical procedures; neoplasm recurrence; local; retinal artery occlusion; treatment outcome
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