Maxillofacial and nasopharyngeal cancer effect of preoperative embolization.docVIP

 PAGE \* MERGEFORMAT 8 Maxillofacial and nasopharyngeal cancer effect of preoperative embolization Of: Yi-Ping Zhang, Deng is so beautiful, Yan Jie, OU Bo [Keywords:] maxillofacial tumors, neoplasms, interventional Maxillofacial blood supply primarily from branches of maxillary artery lingual artery, facial artery and the maxillary artery, nasopharynx tumor blood supply mainly from the ascending pharyngeal artery. Surgical field is very rich blood supply, due to the surgical field during resection of the small , poor visibility, etc., easy to accidentally injure blood vessels during surgery and nerve, an increase of operative risk and postoperative complications. surgical resection prior to selective embolization in the external carotid artery branches can significantly reduce bleeding and make surgery more complete, and can enhance tumor resection rate, shorten the operation time. 1 Materials and Methods 1.1 General Information 8 cases of maxillofacial and nasopharyngeal cancer patients, 3 were male and 5 female, aged 16 to 61 years, mean 42 years. Which 2 cases of nasopharyngeal carcinoma, right maxillofacial cavernous hemangioma, 1 case of nasopharyngeal fibrous 4 cases of hemangioma, 1 case of mixed tumor of the left submandibular gland, these cases failed to clear lesions before surgery, were pathologically confirmed, the blood loss was 60 ~ 540ml, an average of 215ml. 1.2 Interventions Using Seldinger `s method, the 5F arterial sheath into the femoral artery with 5F Head Hunt external carotid artery catheter imaging (iohexol contrast agent to confirm whether the tumor blood supply and the risk of intracranial anastomosis exists. In the ultra- slip over the guide wire guided selective target artery, application of a micro-catheter NPC patients, angiography showed no intracranial anastomosis underwent embolization risk. This group of patients underwent bilateral maxillary artery angiography, unilateral embolization 3 cases, bilateral