Implication of embolization in residual disease in lateral extension of juvenile nasopharyngeal angiofibroma

Implication of embolization in residual disease in lateral extension of juvenile nasopharyngeal angiofibroma

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A few studies have reported incomplete shamrock belt buckle resection of juvenile nasopharyngeal angiofibroma (JNA) following embolization.The likely effects of embolization, viz.shrinkage/reduced tensile strength may have increased the fragility of tumour, leaving remnants postoperatively particularly across hour-glass constriction of sphenopalatine foramina.This paper describes the likelihood of residual disease being left following brooklyn bridge side view embolization and hence the importance of extended surgery for complete excision.