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Arterial embolization for control of bleeding in advanced head and neck carcinoma

Published online by Cambridge University Press:  29 June 2007

Sanjay Bhansali ,
Harvey Wilner  and
John R. Jacobs
Sanjay Bhansali
Affiliation:
Departments of Otolaryngology, Wayne State University, Harper-Grace Hospitals, Detroti, MI 48201.
Harvey Wilner
Affiliation:
Departments of Radiology, Wayne State University, Harper-Grace Hospitals, Detroti, MI 48201.
John R. Jacobs*
Affiliation:
Departments of Otolaryngology, Wayne State University, Harper-Grace Hospitals, Detroti, MI 48201.
*
John R. Jacobs, M.D., Department of Otolarynology, Wayne State University, 540 East Canfield UHC-5E, Detroit, MI 48201, U.S.A.
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Abstract

There are a number of patients with unresectable recurrent carcinoma of the head and neck who continue to lead a relatively functional life despite advanced local disease. For these patients bleeding from tumor represents a devastating complication that can abruptly terminate the course of an otherwise chronic disease, albeit a uniformly fatal one. The technique we describe renders a relatively safe and effective treatment that seems to control this problem.

We report on our experience with three patients whose tumor bleeding was controlled by permanent intra-arterial embolization with Ivalon, a polyvinyl alcohol-based foam. The technique, indications, and complications are discussed.

Information

Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 100 , Issue 11 , November 1986 , pp. 1289 - 1293
Copyright
Copyright © JLO (1984) Limited 1986

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