Skull Base 1998; 8(4): 205-210
DOI: 10.1055/s-2008-1058184
Case Reports

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Laser-Assisted Bypass of the Internal Carotid Artery Prior to Treatment of an Extensive Angiofibroma

Kees Graamans, Cornelis A. F. Tulleken
Further Information

Publication History

Publication Date:
03 March 2008 (online)

Abstract

A 23-year-old man presented with an extensive nasopharyngeal angiofibroma. The inferolateral trunk, a branch of the internal carotid artery, was a major source of arterial supply to the tumor. Therefore, surgery had to be done in two stages. The first stage started with an extracranial-intracranial bypass by means of the excimer laser-assisted procedure. This technique precludes temporary cross-clamping of intracranial arteries. This bypass procedure was followed by occlusion of the internal carotid artery. Then, in the second stage, the tumor was safely removed.