Changing trends in management of XXXX .

@entity1 @entity5 @entity128 @entity887 @entity1823 @entity10470
The purpose of this retrospective study was to evaluate the preoperative diagnostic modalities and aggressive operating management as well as the determination of benefit of preop embolization on the course of @entity10470 ( @entity10470 ). Between 1975 and 1993, 14 @entity1 were treated for @entity10470 in our department. The preoperative evaluation included angiography (14/14, 100%), Duplex scanning (6/14, 43%), and CT scanning (9/14, 64%). @entity5 (36%) were type I, four (28%) type II, and five (36%) type III, according to the Shamblin classification. In twelve cases the @entity5 were successfully excised without ligation of the external carotid artery. One of these @entity1 , who had a very large @entity5 , underwent preop embolization. In two @entity1 the @entity5 were found to extend intracranially, and the @entity1 were referred for radiation therapy. There were no deaths or cerebrovascular complications. Temporary @entity128 was noted in two cases. The pathology report revealed @entity1823 without any evidence of @entity5 . Follow up of @entity1 (6 months-18 years) showed no recurrence of the @entity5 in the operated cases and local recurrence in the radiation group. CONCLUSION: 1. Arteriography remains the golden standard for diagnosis of @entity10470 . Tripplex scanning and CT are helpful for postop follow-up. 2. Surgical removal is the ideal treatment. @entity887 is helpful in diminishing intraoperative blood requirements. 3. @entity10470 , although benign, should be treated as soon as it is diagnosed, before difficulty in excision arises.
