Facial Palsy Following Embolization of a Juvenile Nasopharyngeal Angiofibroma.

Document Type

Article

Abstract

OBJECTIVES: To describe a case of the rare complication of facial palsy following preoperative embolization of a juvenile nasopharyngeal angiofibroma (JNA). To illustrate the vascular supply to the facial nerve and as a result, highlight the etiology of the facial nerve palsy.

METHODS: The angiography and magnetic resonance (MR) imaging of a case of facial palsy following preoperative embolization of a JNA is reviewed.

RESULTS: A 13-year-old male developed left-sided facial palsy following preoperative embolization of a left-sided JNA. Evaluation of MR imaging studies and retrospective review of the angiographic data suggested errant embolization of particles into the petrosquamosal branch of the middle meningeal artery (MMA), a branch of the internal maxillary artery (IMA), through collateral vasculature. The petrosquamosal branch of the MMA is the predominant blood supply to the facial nerve in the facial canal. The facial palsy resolved since complete infarction of the nerve was likely prevented by collateral blood supply from the stylomastoid artery.

CONCLUSIONS: Facial palsy is a potential complication of embolization of the IMA, a branch of the external carotid artery (ECA). This is secondary to ischemia of the facial nerve due to embolization of its vascular supply. Clinicians should be aware of this potential complication and counsel patients accordingly prior to embolization for JNA.

Medical Subject Headings

Adolescent; Angiofibroma; Embolization, Therapeutic; Endoscopy; Facial Nerve; Facial Paralysis; Humans; Ischemia; Male; Maxillary Artery; Nasopharyngeal Neoplasms; Remission, Spontaneous

Publication Date

5-1-2018

Publication Title

The Annals of otology, rhinology, and laryngology

ISSN

1943-572X

Volume

127

Issue

5

First Page

344

Last Page

348

PubMed ID

29488393

Digital Object Identifier (DOI)

10.1177/0003489418761456

This document is currently not available here.

Share

COinS