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The role of embolisation in ENT: an update

Published online by Cambridge University Press:  15 December 2011

J Risley
Affiliation:
Department of Otorhinolaryngology, University Hospital, Nottingham, UK
K Mann
Affiliation:
Department of Otorhinolaryngology, University Hospital, Nottingham, UK
N S Jones*
Affiliation:
Department of Otorhinolaryngology, University Hospital, Nottingham, UK
*
Address for correspondence: Professor N S Jones, Department of Otorhinolaryngology, University Hospital, Nottingham NG7 2UH, UK Fax: +44 (0)115 970 9748 E-mail: Nick.Jones@nottingham.ac.uk

Abstract

Objective:

To provide an update on the ever-increasing role that embolisation plays in the practice of otolaryngology.

Method:

A literature search was performed during November 2008. The Medline, Embase, PubMed and Cochrane databases were searched. This resulted in 285 papers relevant for review.

Conclusion:

The role of embolisation has expanded greatly to include the management of refractory epistaxis, pre-operative preparation of vascular tumours, vascular injuries and as an adjunct in skull base surgery.

Type
Review Articles
Copyright
Copyright © JLO (1984) Limited 2011

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Footnotes

The radiographs in this article were presented as a poster at the ENT UK Annual Conference, 11 September 2009, London, UK

References

1Rosch, J, Dotter, CT, Brown, MJ. Selective arterial embolisation: a new method for control of acute gastrointestinal bleeding. Radiology 1972;102:303–6Google Scholar
2Kingsley, D, O'Connor, AF. Embolization in otolaryngology. J Laryngol Otol 1982;96:439–50Google Scholar
3Sokoloff, J, Wickbom, I, McDonald, D. Therapeutic percutaneous embolization in intractable epistaxis. Radiology 1974;111:285–7Google Scholar
4Daudia, A, Jaiswal, V, Jones, NS. Guidelines for the management of idiopathic epistaxis in adults: how we do it. Clin Otolaryngol 2008;33:618–20CrossRefGoogle ScholarPubMed
5Fukutsuji, K, Nishiike, S, Aihara, T, Uno, M, Harada, T, Gyoten, M et al. Superselective angiographic embolization for intractable epistaxis. Acta Otolaryngol 2008;128:556–60CrossRefGoogle ScholarPubMed
6Tseng, EY, Narducci, CA, Willing, SJ, Sillers, MJ. Angiographic embolization for epistaxis: a review of 114 cases. Laryngoscope 1998;108:615–19Google Scholar
7Gupta, AK, Purkayastha, S, Bodhey, NK, Kapilamoorthy, TR, Kesavadas, C. Preoperative embolization of hypervascular head and neck tumours. Australas Radiol 2007;51:446–52CrossRefGoogle ScholarPubMed
8Yiotakis, I, Eleftheriadou, A, Davilis, D, Giotakis, E, Ferekidou, E, Korres, S et al. Juvenile nasopharyngeal angiofibroma stages I and II: a comparative study of surgical approaches. Int J Pediatr Otorhinolaryngol 2008;72:793800Google Scholar
9Shenoy, AM, Grover, N, Janardhan, N, Jayakumar, PN, Hedge, T, Satish, S. Juvenile nasopharyngeal angiofibromas: a study of recurrent pattern and role of pre-operative embolization – ‘A decade's experience’. Indian J Otolaryngol Head Neck Surg 2002;54:274–9Google Scholar
10Li, JR, Qian, J, Shan, XS, Wang, L. Evaluation of the effectiveness of preoperative embolization in surgery for nasopharyngeal angiofibroma. Eur Arch Otorhinolaryngol 1998;255:430–2CrossRefGoogle Scholar
11El-Banhawy, OA, Ragab, A, El-Sharnoby, MM. Surgical resection of type III juvenile angiofibroma without preoperative embolization. Int J Pediatr Otorhinolaryngol 2006;70:1715–23Google Scholar
12Carrillo, JF, Albores, O, Ramirez-Ortega, MC, Aiello-Crocifoglio, V, Onate-Ocana, LF. An audit of nasopharyngeal fibromas. Eur J Surg Oncol 2007;33:655–61Google Scholar
13Chou, WC, Lu, CH, Lin, G, Hong, YS, Chen, PT, Hsu, HC. Transcutaneous arterial embolization to control massive tumor bleeding in head and neck cancer: 63 patients' experiences from a single medical center. Support Care Cancer 2007;15:1185–90Google Scholar
14Kakizawa, H, Toyota, N, Naito, A, Ito, K. Endovascular therapy for management of oral hemorrhage in malignant head and neck tumors. Cardiovasc Intervent Radiol 2005;28:722–9CrossRefGoogle ScholarPubMed
15Imai, S, Kajihara, Y, Kamei, T, Komaki, K, Tamada, T. Arterial embolization for control of bleeding in advanced head and neck malignancy. Int J Clin Oncol 1998;3:228–32Google Scholar
16Bhansali, S, Wilner, H, Jacons, JR. Arterial embolization for control of bleeding in advanced head and neck carcinoma. J Laryngol Otol 1986;100:1289–93CrossRefGoogle ScholarPubMed
17Sesterhenn, AM, Iwinska-Zelder, J, Dalchow, CV. Acute haemorrhage in patients with advanced head and neck cancer: value of endovascular therapy as palliative treatment option. J Laryngol Otol 2006;120:117–24CrossRefGoogle ScholarPubMed
18Schick, PM, Hieshima, AB, White, RA. Arterial catheter embilization followed by surgery for large Chemodectoma. Surgery 1980;87:459–64Google Scholar
19Van Den Berg, R. Imaging and management of head and neck paragangliomas. Eur Radiol 2005;15:1310–18CrossRefGoogle ScholarPubMed
20Persky, MS, Setton, A, Niimi, Y, Hartman, J, Frank, A, Bernstein, A. Combined endovascular and surgical treatment of head and neck paragangliomas – a team approach. Head Neck 2002;24:423–31Google Scholar
21Miller, RB, Boon, MS, Atkins, JP, Lowry, LD. Vagal paraganglioma: the Jefferson experience. Head Neck Surg 2000;122:482–7Google ScholarPubMed
22Chang, FC, Lirng, JF, Luo, CB, Wang, SJ, Wu, HM, Guo, WY et al. Patients with head and neck cancers and associated postirradiated carotid blowout syndrome: endovascular therapeutic methods and outcomes. J Vasc Surg 2008;47:936–45CrossRefGoogle ScholarPubMed
23Luo, CB, Teng, MM, Chang, FC, Chang, CY. Transarterial embolization of acute external carotid blowout syndrome with profuse oronasal bleeding by N-butyl-cyanoacrylate. Am J Emerg Med 2006;24:702–8Google Scholar
24Roh, JL, Suh, DC, Kim, MR, Lee, JH, Choi, JW, Choi, SH et al. Endovascular management of carotid blowout syndrome in patients with head and neck cancers. Oral Oncol 2008;44:844–50Google Scholar
25Bates, MC, Shamsham, FM. Endovascular management of impending carotid rupture in a patient with advanced head and neck cancer. J Endovasc Ther 2003;10:54–7Google Scholar
26Luo, CB, Teng, MM, Chang, FC, Chang, CY, Guo, WY. Radiation carotid blowout syndrome in nasopharyngeal carcinoma: angiographic features and endovascular management. Otolaryngol Head Neck Surg 2008;138:8691Google Scholar
27Patel, N, Lewandowski, RJ, Bove, M, Nemcek, AA Jr, Salem, R. Thoracic duct embolization: a new treatment for massive leak after neck dissection. Laryngoscope 2008;118:680–3Google Scholar
28Komiyama, M, Nishikawa, M, Kan, M, Shigemoto, T, Kaji, A. Endovascular treatment of intractable oronasal bleeding associated with severe craniofacial injury. J Trauma 1998;44:330–4CrossRefGoogle ScholarPubMed
29Golueke, PJ, Goldstein, AS, Scalafani, SJA. Routine versus selective exploration of penetrating neck injuries: a randomisied prospective study. J Trauma 1984;24:10101014Google Scholar
30Germiller, JA, Myers, LL, Harris, MO, Bradford, CR. Pseudoaneurysm of the proximal facial artery presenting as oropharyngeal hemorrhage. Head Neck 2001;23:259–63Google Scholar
31Sclafani, S, Panetta, T, Goldstein, A, Phillips, T, Hotson, G. The management of arterial injuries caused by penetration of zone III of the neck. J Trauma 1985;25:871–81Google Scholar
32Layton, KF, Kallmes, , Gray, L, Cloft, HJ. Endovascular treatment of epistaxis in patients with hereditary haemorrhagic telangiectasia. Am J Neuroradiol 2007;28:855–88Google Scholar
33Roland, NJ, McRae, RDR, McCombe, AW. Key Topics in Otolaryngology, 2nd edn.London: Taylor and Francis, 2001Google Scholar
34Righi, PD, Bade, MA, Coleman, JJ, Allen, M. Arteriovenous malformation of the base of tongue: case report and literature review. Microsurg 1996;17:706–9Google Scholar
35Kohout, MP, Hansen, M, Pribaz, JJ, Mulliken, JB. Arteriovenous malformations of the head and neck: natural history and management. Plast Reconstr Surg 1998;102:643–54CrossRefGoogle ScholarPubMed
36Aslan, S, Yavuz, H, Cagici, AC, Kizilkilic, O. Embolisation of an extensive arteriovenous malformation of the temporal region as an alternate treatment: case report. J Laryngol Otol 2008;122:737–40Google Scholar
37Bizri, AR, Al-Ajam, M, Zaytoun, G, al-Kutoubi, A. Direct carotid cavernous fistula after submucous resection of the nasal septum. ORL J Otorhinolaryngol Relat Spec 2000;62:4952Google Scholar
38Yu, JS, Lei, T, Chen, JC, He, Y, Chen, J, Li, L. Diagnosis and endovascular treatment of spontaneous direct carotid-cavernous fistula. Chin Med J 2008;121:1558–62CrossRefGoogle ScholarPubMed
39Pothula, VB, Reddy, KTV, Nixon, TE. Carotico-cavernous fistula following septorhinoplasty. J Laryngol Otol 1999;113:844–6Google Scholar
40Walshe, P, Ramos, E, Low, C, Thomas, L, McWilliams, R, Hone, S. An unusual complication of tonsillectomy. Surgeon 2005;3:296–8Google Scholar
41Johnson, PE, Tabee, A, Fitz-James, IA, Pass, RH, Serres, LM. Major aorto-pulmonary collateral arteries (MAPCAs)–Bronchial fistula presenting as tracheotomy bleed. Int J Pediatr Otorhinolaryngol 2006;70:1109–13CrossRefGoogle ScholarPubMed
42Takasakia, K, Enatsua, K, Hasus, MA. A case with tracheo-innominate artery fistula. Successful management of endovascular embolization of innominate artery. Larynx 2005;32:195–8Google Scholar
43Grant, CA, Dempsey, G, Harrison, J, Jones, T. Tracheo-innominate artery fistula after percutaneous tracheostomy: three case reports and a clinical review. Br J Anaesthesia 2006;96:127–31Google Scholar
44Cockroft, KM, Carew, JF, Trost, D, Fraser, RA. Delayed epistaxis resulting from external carotid artery injury requiring embolization: a rare complication of transsphenoidal surgery: case report. Neurosurgery 2000;47:236–9Google ScholarPubMed
45Nishioka, H, Ohno, S, Ikeda, Y, Ohashi, T, Haraoka, J. Delayed massive epistaxis following endonasal transsphenoidal surgery. Acta Neurochir (Wien) 2007;149:523–6CrossRefGoogle ScholarPubMed
46Noonan, PT, Choi, IS. Diagnostic imaging, angiography, and interventional techniques for jugular foramen tumors. Oper Techol Neurosurg 2005;8:1318Google Scholar
47Carrier, DA, Arriaga, MA, Gorum, MJ, Dahlen, RT, Johnson, SP. Preoperative embolization of anastomoses of the jugular bulb: an adjuvant in jugular foramen surgery. Am J Neurorad 1997;18:1252–6Google Scholar
48Pepper, JP, Wadwa, AK, Tsai, F, Shibuya, T, Wong, BJ. Cavernous carotid injury during FESS: case presentations and guidelines for optimal management. Am J Rhinol 2007;21:105–9Google Scholar
49Barlow, DW, Deleyiannis, FWB, Pinczower, EF. Effectiveness of surgical management of epistaxis at a tertiary care centre. Laryngoscope 1997;107:2124Google Scholar
50Sadri, M, Midwinter, K, Ahmed, A, Parker, A. Assessment of safety and efficacy of arterial embolisation in the management of intractable epistaxis. Eur Arch Otorhinolaryngol 2006;263:560–6Google Scholar
51Guss, J, Cohen, MA, Mirza, N. Hard palate necrosis after bilateral internal maxillary artery embolization for epistaxis. Laryngoscope 2007;117:1683–4Google Scholar
52Marangos, N, Schumacher, M. Facial palsy after glomus jugulare tumour embolization. J Laryngol Otol 1999;113:268–70Google Scholar
53Opatowsky, MJ, Browne, JD, McGuirt, WF, Morris, PP. Endovascular treatment of hemorrhage after tonsillectomy in children. Am J Neuroradiol 2001;22:713–16Google Scholar