title: Internal carotid artery injury during functional endoscopic sinus surgery and its management.
abstract: Rupture of the internal carotid artery (ICA) during functional endoscopic sinus surgery (FESS) is a rare complication, which can potentially result in death. Only a few cases have been reported in the literature thus far. We present four cases with an ICA bleeding during sphenoidotomy. The treatment is discussed and an emergency plan to manage the heavy arterial bleeding is presented.
authors.affiliation: Department of Otolaryngology and Head and Neck Surgery, University of Erlangen-Nuremberg, 91054 Erlangen, Germany. mark.weidenbecher@web.de
authors.forename: Mark
authors.initials: M
authors.lastname: Weidenbecher
authors.forename: Walter J
authors.initials: WJ
authors.lastname: Huk
authors.forename: Heinrich
authors.initials: H
authors.lastname: Iro
mesh_terms: D020212:Carotid Artery Injuries / Q000209:etiology*; D002343:Carotid Artery, Internal; D002985:Clinical Protocols; D004724:Endoscopy / Q000009:adverse effects*; D006488:Hemostasis, Surgical; D006801:Humans; D008297:Male; D008875:Middle Aged; D012421:Rupture / Q000209:etiology; D013101:Sphenoid Sinus / Q000601:surgery*