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Transcatheter arterial embolisation for paediatric inflammatory pseudotumour of the maxillary sinus

Published online by Cambridge University Press:  03 August 2011

A Murai ,
K Sugiu ,
S Kariya  and
K Nishizaki
A Murai
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan
K Sugiu
Affiliation:
Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan
S Kariya*
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan
K Nishizaki
Affiliation:
Department of Otolaryngology-Head and Neck Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, Japan
*
Address for correspondence: Dr Shin Kariya, Department of Otolaryngology-Head and Neck Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences, 2-5-1 Shikata-cho, Okayama 700-8558, Japan Fax: +81 86 235 7308 E-mail: skariya@cc.okayama-u.ac.jp
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Abstract

Background:

Inflammatory pseudotumours are mostly seen in the lung, and occasionally in the head and neck region including the sinonasal area. Reported treatment modalities comprise corticosteroid treatment, surgical excision and radiotherapy. The latter option is required because wide surgical resection may be difficult for head and neck lesions, especially in children. However, clinicians should be aware of the risk of late-onset side effects of radiotherapy in children.

Case report:

We present a two-year-old girl with a massive inflammatory pseudotumour of the maxillary sinus. Transcatheter arterial embolisation was performed, and the lesion was successfully managed without additional therapy. There was no evidence of recurrence over the next five years.

Conclusion:

This is the first report presenting the utility of arterial embolisation for inflammatory pseudotumour.

Keywords

Maxillary SinusInflammatory PseudotumourPlasma Cell GranulomaInflammatory Myofibroblastic TumourEmbolization, Therapeutic
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 11 , November 2011 , pp. 1189 - 1192
Copyright
Copyright © JLO (1984) Limited 2011

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