[Postraumatic massive epistaxis. An indication for selective arterial embolization].
We report a 38 years old male admitted to our hospital with massive epistaxis secondary to nasal trauma which required to perform a posterior packing, transfusion and embolization of the internal maxillary artery for stopping the nosebleed. Then we made a FENS (Functional Endoscopic Nasal Surgery) by cauterization of several bleeding points on nasal septum following an anterior packing that was removed after 48 hours without new epistaxis. In a patient like this we think that an angiography with selective embolization is the main choice when other options have failed.
Pino Rivero
V
V
Complejo Hospitalario Infanta Cristina, Facultativo Especialista de Otorrinolaringología, Badajoz. vicentepinorivero@terra.com
González Palomino
A
A
Trinidad Ruíz
G
G
Carrasco Claver
F
F
Rejas Ugena
E
E
Alvarez Domínguez
J
J
Marqués Rebolla
L
L
Blasco Huelva
A
A
D000328:Adult; D000792:Angiography; D020212:Carotid Artery Injuries / Q000150:complications* / Q000000981:diagnostic imaging; D004621:Embolization, Therapeutic / Q000379:methods*; D004844:Epistaxis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy*; D006801:Humans; D008297:Male