title: Severe complication of posterior nasal packing: Case Report.
abstract: BACKGROUND
  Severe Epistaxis is common in patients with head trauma, especially when associated with multiple fractures of the face and skull base. Several methods of controlling bleeding that can be imposed. The anterior nasal tapenade associated with posterior Foley catheter is one of the most widespread, and the universal availability of necessary materials or their apparent ease of execution.
  
  
  METHODS
  Case report on control of severe epistaxis after severe TBI, with posterior nasal packing by Foley catheter and control tomography showing multiple fractures of the skull base and penetration of the probe into the brain parenchyma.
  
  
  CONCLUSIONS
  This is a rare but possible complication in the treatment of severe nose bleeds associated with fracture of the skull base. This brief report highlights risks related to the method and suggests some care to prevent complications related through a brief literature review.
authors.affiliation: President of the Brazilian Society of Laryngology and Voice (2001-2003). Director of the Center for Otolaryngology and Head and Neck of St. Paul.
authors.forename: José Antônio
authors.initials: JA
authors.lastname: Pinto
authors.affiliation: Doctor in Otolaryngology, Faculty of Medicine, USP - Ribeirão Preto. Physician Assistant at the Center for Otolaryngology and Head and Neck of St. Paul.
authors.forename: Pedro Paulo Vivacqua da Cunha
authors.initials: PP
authors.lastname: Cintra
authors.affiliation: Medical (a). Resident Center for Otolaryngology and Head and Neck of St. Paul.
authors.forename: Thiago Branco
authors.initials: TB
authors.lastname: Sônego
authors.affiliation: Medical (a). Resident Center for Otolaryngology and Head and Neck of St. Paul.
authors.forename: Carolina de Farias Aires
authors.initials: Cde F
authors.lastname: Leal
authors.affiliation: Medical (a). Resident Center for Otolaryngology and Head and Neck of St. Paul.
authors.forename: Marina Spadari
authors.initials: MS
authors.lastname: Artico
authors.affiliation: Medical (a). Resident Center for Otolaryngology and Head and Neck of St. Paul.
authors.forename: Josemar Dos Santos
authors.initials: Jdos S
authors.lastname: Soares
keywords: Craniocerebral Trauma; epistaxis; fracture of the skull base