iarjsIARJSIARJS2789-6102https://doi.org/10.47310/iarjs.2022.v02i02.006Application of Resucitative Endovascular Balloon Occlusion of the Artery (REBOA) in Common Carotid Artery : Debulking Case of Nasopharyngeal CarcinomaDodyTisnaAmijayaDarmawanIsmailSurgical Resident, Department of Surgery, Faculty of Medicine, Sebelas Maret University, Surakarta, IndonesiaDivision of Thoracic Cardiovascular Surgery, Department of Surgery, Sebelas Maret University, Surakarta, IndonesiaREIntroduction: REBOA or resuscitative endovascular balloon occlusion of the artery is a procedure for temporarily controlling arterial bleeding in trauma patients that improves hemodynamic stability and preserves cerebral and coronary perfusion. Debulking has been a frequently used procedure for surgical removal of lymph node cancer for nearly a century. Intraoperative bleeding can be up to 3000cc and varies according to surgical technique and among surgeons. In this case, we reported a case of debulking surgery in a patient with nasopharyngeal carcinoma. Case presentation: A 45-year-old woman with NPC UCC T3N2M0 (stage III), after complete chemoradiation and bleeding, was consulted by the ENT department for debulking with REBOA. A bilateral nasopharyngeal mass obliterated the Rosenmuller fossa, bilateral torus tubarius, and extended to the right parapharyngeal space, left maxillary sinus, and right mastoid. There were multiple neck lymphadenopathies, submandibular, and bilateral parotitis. The right lymph node size was 16x8x7 cm, and the surface was uneven and brittle, tender, hyperemic, hard, and fixed. Soft tissue metastases in the right colli region compressing the right jugular vein. We planned to use the REBOA approach in debulking patients with nasopharyngeal carcinoma with the aim of reducing bleeding. After REBOA was installed, nasopharyngeal carcinoma debulking was performed with a total bleeding of 700 cc. On the third postoperative follow-up, the patient complained of pain in the surgical area, the wound was covered with a bandage, and no bleeding was found. Conclusion: REBOA is an effective technique for reducing intraoperative bleeding in debulking surgery of nasopharyngeal carcinoma. This modality can be used as a regular choice for debulking intervention of nasopharyngeal carcinoma.