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Semin intervent Radiol 2020; 37(02): 157-165
DOI: 10.1055/s-0040-1709157
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Interventional Management of Head and Neck Tumors

Mudassar Kamran
1   Department of Radiology, UAMS College of Medicine, Little Rock, Arkansas
,
Adam N. Wallace
2   Department of Neurointerventional Surgery, Ascension Columbia St. Mary's Hospital, Milwaukee, Wisconsin
,
Amole Adewumi
1   Department of Radiology, UAMS College of Medicine, Little Rock, Arkansas
› Author Affiliations
Further Information

Publication History

Publication Date:
14 May 2020 (online)

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Abstract

Advancements in medical imaging and device technology allow minimal invasive procedures for the diagnosis and treatment of various disorders. For the management of tumors in head and neck region, these image-guided interventions play essential role in the often used multidisciplinary approach. Tissue sampling under ultrasound or computed tomography guidance is generally the first step to reach a pathological diagnosis. For head and neck tumors with high vascularity, embolization using particulate matter, liquid embolic agents, or coils is used to achieve successful tumor resection with minimal blood loss. Hemorrhage related to head and neck tumors can be evaluated and managed with endovascular techniques with minimal morbidity and mortality. Intra-arterial chemotherapy, radiofrequency ablation, and cryotherapy are new techniques for the management of advanced head and neck cancer which may serve as an alternative to achieve locoregional control and survival when curative resection may not be feasible.

Keywords

head and neck tumors - squamous cell carcinoma - endovascular technique - intra-arterial chemotherapy - image-guided interventions - interventional radiology
 

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