Transcatheter arterial embolisation for paediatric inflammatory pseudotumour of the maxillary sinus

J Laryngol Otol. 2011 Nov;125(11):1189-92. doi: 10.1017/S0022215111001848. Epub 2011 Aug 3.

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.

Publication types

  • Case Reports

MeSH terms

  • Angiography
  • Biopsy
  • Child, Preschool
  • Embolization, Therapeutic / methods*
  • Female
  • Granuloma, Plasma Cell / diagnostic imaging
  • Granuloma, Plasma Cell / pathology
  • Granuloma, Plasma Cell / therapy*
  • Humans
  • Magnetic Resonance Imaging
  • Maxillary Artery / diagnostic imaging
  • Maxillary Sinus Neoplasms / blood supply
  • Maxillary Sinus Neoplasms / diagnostic imaging
  • Maxillary Sinus Neoplasms / therapy*
  • Polyvinyl Alcohol / therapeutic use

Substances

  • Polyvinyl Alcohol