Vol.99 No.4 contentsPRACTICA OTO-RHINO-LARYNGOLOGICA
Vol. 99 No. 4 April 2006
Efficacy of Auto-transfusion for Nasopharyngeal
Angiofibroma: Two Case Reports
Shinpei Kada
(Kyoto University Graduate School of Medicine)
Masahiko Hayashi
(Shiga Medical Center for Adults)
Morimasa Kitamura
(National Hospital Organization Kyoto Medical Center)
Kazuhisa Yuki
(Nozomi Clinic, Settsu City)
Nasopharyngeal angiofibroma is a benign and highly vascular tumor common in adolescent males. We report two cases of nasopharyngeal angiofibroma. One case was a 17-year-old male, and the other case was a 27-year-old male. One case complained of left nasal obstruction and recurrent epistaxis of the left nostril, and the other case complained only one epistaxis of right nostril.
We found large masses filling the choanal cavity and CT scans and MRI images revealed that in both cases, tumors filled the nasopharyngeal cavity, the in one case the tumor extended into the left sphenopalatine fossa, and in the other case it extended into the right sphenoid sinus. Both cases underwent preoperative embolization with gelform one day before surgery and auto-transfusion was performed. In both cases, complete tumor removal was accomplished with a blood loss of 1300 and 1500 ml. Nasopharyngeal angiofibroma is such a highly vascular tumor that we shoud perform auto-transfusion in spite of preoperative
embolization.
Key words : auto-transfusion, nasopharyngeal angiofibroma, embolization