title: Claudication on mastication following bilateral external carotid artery ligation for posterior epistaxis.
abstract: This case highlights a potentially disabling complication of intermittent claudication in the region of the masseter muscles on mastication, following bilateral external carotid artery ligation for epistaxis. Although there have been few reports of this complication this may be a reflection of the fact that the operation is rarely performed, and not because the complication is rare. Its potentially disabling nature, and its possible common occurrence after this procedure make awareness of it by surgeons who may carry out this procedure important.
authors.affiliation: Department of Otolaryngology and Head and Neck Surgery, Royal Free Hospital, London, UK.
authors.forename: M
authors.initials: M
authors.lastname: Motamed
authors.forename: R
authors.initials: R
authors.lastname: Farrell
authors.forename: J
authors.initials: J
authors.lastname: Philpott
authors.forename: P
authors.initials: P
authors.lastname: Rea
mesh_terms: D002342:Carotid Artery, External / Q000601:surgery*; D004844:Epistaxis / Q000601:surgery*; D006801:Humans; D008026:Ligation / Q000009:adverse effects; D008297:Male; D008409:Mastication; D008410:Masticatory Muscles / Q000098:blood supply; D008875:Middle Aged; D010146:Pain / Q000209:etiology*; D011184:Postoperative Period