title: [Postraumatic massive epistaxis. An indication for selective arterial embolization].
abstract: 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.
authors.affiliation: Complejo Hospitalario Infanta Cristina, Facultativo Especialista de Otorrinolaringología, Badajoz. vicentepinorivero@terra.com
authors.forename: V
authors.initials: V
authors.lastname: Pino Rivero
authors.forename: A
authors.initials: A
authors.lastname: González Palomino
authors.forename: G
authors.initials: G
authors.lastname: Trinidad Ruíz
authors.forename: F
authors.initials: F
authors.lastname: Carrasco Claver
authors.forename: E
authors.initials: E
authors.lastname: Rejas Ugena
authors.forename: J
authors.initials: J
authors.lastname: Alvarez Domínguez
authors.forename: L
authors.initials: L
authors.lastname: Marqués Rebolla
authors.forename: A
authors.initials: A
authors.lastname: Blasco Huelva
mesh_terms: 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