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Article: Treatment of profuse epistaxis in patients irradiated for nasopharyngeal carcinoma

TitleTreatment of profuse epistaxis in patients irradiated for nasopharyngeal carcinoma
Authors
KeywordsEmbolization
Endovascular treatment
Epistaxis
Nasopharyngeal carcinoma
Radiotherapy
Issue Date2007
PublisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ANS
Citation
Anz Journal Of Surgery, 2007, v. 77 n. 4, p. 270-274 How to Cite?
AbstractBackground: Profuse epistaxis in patients with nasopharyngeal carcinoma (NPC) previously treated with radiotherapy (RT) can be life threatening. Surgical means to prevent rebleeding may at times be difficult and unsuccessful. We aim to investigate the characteristics of this group of patients and our experience of endovascular embolization technique in the management of epistaxis in this group of patients. Methods: A retrospective review of all nasopharyngeal carcinoma patients presented with profuse epistaxis during follow up after radiotherapy was carried out in a regional neurosurgical centre in Hong Kong. Seventeen patients were included for the analysis within the recent 6-year period. The age of patients was 55.5 ± 8.358 years (mean ± standard deviation). The sex ratio was 5:1 (M:F). Diagnostic catheter angiography was carried out in all 17 patients. Endovascular embolization was carried out in 11 patients with the joint decision of the otolaryngologist and neurointerventionist in charge. Results: Four patients underwent main trunk occlusion for internal carotid pseudoaneurysm. Seven patients underwent embolization of branches of external carotid artery. One patient required another session of external carotid artery embolization 1 month later. There was one inpatient death because of pneumonia and hepatic encephalopathy. With our protocol, there were only two patients (11.7%) with delayed rebleed at 2 and 5 months, respectively. Both patients had advanced diseases and died. Conclusion: In irradiated patients with nasopharyngeal carcinoma presenting with profuse epistaxis, angiography had a high yield of pseudoaneurysm or hypervascularity and these lesions could be safely managed through endovascular embolization. © 2007 Royal Australasian College of Surgeons.
Persistent Identifierhttp://hdl.handle.net/10722/92273
ISSN
2015 Impact Factor: 1.158
2015 SCImago Journal Rankings: 0.432
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorWong, GKCen_HK
dc.contributor.authorChan, KKen_HK
dc.contributor.authorYu, SCHen_HK
dc.contributor.authorTsang, RKYen_HK
dc.contributor.authorPoon, WSen_HK
dc.date.accessioned2010-09-17T10:41:10Z-
dc.date.available2010-09-17T10:41:10Z-
dc.date.issued2007en_HK
dc.identifier.citationAnz Journal Of Surgery, 2007, v. 77 n. 4, p. 270-274en_HK
dc.identifier.issn1445-1433en_HK
dc.identifier.urihttp://hdl.handle.net/10722/92273-
dc.description.abstractBackground: Profuse epistaxis in patients with nasopharyngeal carcinoma (NPC) previously treated with radiotherapy (RT) can be life threatening. Surgical means to prevent rebleeding may at times be difficult and unsuccessful. We aim to investigate the characteristics of this group of patients and our experience of endovascular embolization technique in the management of epistaxis in this group of patients. Methods: A retrospective review of all nasopharyngeal carcinoma patients presented with profuse epistaxis during follow up after radiotherapy was carried out in a regional neurosurgical centre in Hong Kong. Seventeen patients were included for the analysis within the recent 6-year period. The age of patients was 55.5 ± 8.358 years (mean ± standard deviation). The sex ratio was 5:1 (M:F). Diagnostic catheter angiography was carried out in all 17 patients. Endovascular embolization was carried out in 11 patients with the joint decision of the otolaryngologist and neurointerventionist in charge. Results: Four patients underwent main trunk occlusion for internal carotid pseudoaneurysm. Seven patients underwent embolization of branches of external carotid artery. One patient required another session of external carotid artery embolization 1 month later. There was one inpatient death because of pneumonia and hepatic encephalopathy. With our protocol, there were only two patients (11.7%) with delayed rebleed at 2 and 5 months, respectively. Both patients had advanced diseases and died. Conclusion: In irradiated patients with nasopharyngeal carcinoma presenting with profuse epistaxis, angiography had a high yield of pseudoaneurysm or hypervascularity and these lesions could be safely managed through endovascular embolization. © 2007 Royal Australasian College of Surgeons.en_HK
dc.languageengen_HK
dc.publisherWiley-Blackwell Publishing Asia. The Journal's web site is located at http://www.blackwellpublishing.com/journals/ANSen_HK
dc.relation.ispartofANZ Journal of Surgeryen_HK
dc.subjectEmbolizationen_HK
dc.subjectEndovascular treatmenten_HK
dc.subjectEpistaxisen_HK
dc.subjectNasopharyngeal carcinomaen_HK
dc.subjectRadiotherapyen_HK
dc.titleTreatment of profuse epistaxis in patients irradiated for nasopharyngeal carcinomaen_HK
dc.typeArticleen_HK
dc.identifier.emailTsang, RKY: rkytsang@hku.hken_HK
dc.identifier.authorityTsang, RKY=rp01386en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1111/j.1445-2197.2007.04032.xen_HK
dc.identifier.pmid17388834-
dc.identifier.scopuseid_2-s2.0-33947136388en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-33947136388&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume77en_HK
dc.identifier.issue4en_HK
dc.identifier.spage270en_HK
dc.identifier.epage274en_HK
dc.identifier.eissn1445-2197-
dc.identifier.isiWOS:000244793700015-
dc.publisher.placeAustraliaen_HK
dc.identifier.scopusauthoridWong, GKC=13605133200en_HK
dc.identifier.scopusauthoridChan, KK=16038399200en_HK
dc.identifier.scopusauthoridYu, SCH=8919477000en_HK
dc.identifier.scopusauthoridTsang, RKY=7102940058en_HK
dc.identifier.scopusauthoridPoon, WS=7103025507en_HK
dc.identifier.citeulike1166303-

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