Superselective embolization for intractable epistaxis: experiences with 19 patients.
Twenty-eight patients with intractable nose-bleeds were treated with either superselective embolization and/or surgery between 1983 and 1986. The follow-up time ranged between 6 months and 3 years. The results for the 2 groups were similar. The success rate for embolization was 74% and that for surgery 65%. Complications however, were more frequent after embolization, (i.e. facial nerve paralysis, soft tissue necrosis). Surgery is recommended as the treatment of choice in intractable nose-bleeds, until therapeutic embolization techniques have been further refined and the complication rate reduced.
Wehrli
M
M
Department of ENT, University of Zürich, Switzerland.
Lieberherr
U
U
Valavanis
A
A
D000328:Adult; D000368:Aged; D000792:Angiography; D004621:Embolization, Therapeutic / Q000009:adverse effects / Q000379:methods*; D004844:Epistaxis / Q000601:surgery / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008438:Maxillary Artery / Q000601:surgery; D008875:Middle Aged; D011856:Radiographic Image Enhancement / Q000627:therapeutic use