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ABSTRACT: BackgroundThis study was undertaken to assess the efficacy and suitability of an arterial embolization technique for the control of
bleeding in advanced head and neck malignancies.
MethodsEmbolization was performed on 6 patients with advanced head and neck malignancy using various embolic materials for the control
of bleeding. The primary tumors were located in the nasopharynx, hypopharynx (n=2), oral base, face, and external auditory
canal. All of these patients had severe anemia and 5 had massive regional hemorrhages.
All bleeding was well controlled by the arterial embolization; 2 patients were cured of hypovolemic shock. None of the patients
died as a direct result of tumor bleeding, and there were no massive rebleeding cases in our series.
ConclusionArterial embolization offers an effective, safe, and fast method for controlling bleeding from advanced head and neck malignancies.
A good working relationship between the surgeon and the interventional radiologist provides the greatest chance for sucess
in such cases.
International Journal of Clinical Oncology 01/1998; 3(4):228-232. · 1.73 Impact Factor