title: Bilateral external carotid artery ligation: A life saving procedure in severe maxillofacial trauma.
abstract: BACKGROUND
  Bilateral external carotid arteries ligation is a rare practice in cases of extensive maxilla-facial injuries. Defining indication criteria in the management of such cases is highly demanded in emergency surgery.
  
  
  METHODS
  Reported case presents a male patient 67 years old man with a gunshot to the face. The whole face was macerated. Patient was operated surgically performing bilateral external carotid artery ligation, tracheostomy, pharyngostomy, gastrostomy and pressure dressing to face and head.
  
  
  CONCLUSIONS
  The procedure of bilateral external carotid artery ligation has no defined role in the management of maxillofacial trauma. The current status of such procedure in maxillofacial trauma needs revision.
authors: Department of General Surgery University Medical Center, Arabian Gulf University, P.O. Box 26671, Adliya Area 328, Building 61, King Abdul Aziz Avenue, Manama, Bahrain. Electronic address: drmdnasr@gmail.com.
authors: Mohamed Mahmood
authors: MM
authors: Nasr
keywords: Bilateral external carotid artery ligation; Endotracheostomy; Maxillofacial trauma; Tube gastrostomy; Tube pharyngostomy
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