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Int J Pediatr Otorhinolaryngol. 2013 Apr;77(4):581-4. doi: 10.1016/j.ijporl.2012.12.022. Epub 2013 Jan 9.

Spontaneous ICA rupture: a severe late complication after giant nasopharyngeal angiofibroma resection.

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ENT Department, S Luigi Gonzaga Hospital, University of Turin, Turin, Italy.


Juvenile nasopharyngeal angiofibroma (JNA) is a benign vascular tumor occurring in young males. Surgery for giant JNA is a complex procedure, with a high risk of major complications. We report a rare case of massive epistaxis in a 15-year-old boy resulting from spontaneous rupture of the intracavernous tract of the internal carotid artery 20 days after resection of a giant JNA by midface degloving. The event was managed by an emergency arteriography with coils selectively deployed to occlude the vessel and to stop hemorrhage. This treatment has been shown to be effective in producing immediate hemostasis and stable long-term occlusion.

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