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Updated: Jul 31, 2026
10:08
Pseudofracture: An Acute Peripheral Tissue Trauma Model
Published on: April 18, 2011
Life-threatening bleeding in a facial fracture
1Division of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Keelung, Taiwan.
Annals of Plastic Surgery
|February 24, 2001
Summary
Life-threatening bleeding from facial fractures is rare but requires prompt treatment. Angiographic embolization is recommended when nasal packing fails to control severe hemorrhage.
Area of Science:
- Trauma Surgery
- Interventional Radiology
- Emergency Medicine
Background:
- Life-threatening bleeding from facial fractures is uncommon, lacking standardized treatment guidelines.
- Existing treatments for severe hemorrhage in facial fractures are unpredictable and can lead to shock.
Observation:
- A patient with a complex midface fracture experienced severe oronasal bleeding unresponsive to initial nasal packing.
- Angiography revealed active bleeding from the right internal maxillary artery, necessitating intervention.
Findings:
- Successful angiographic embolization controlled the life-threatening hemorrhage.
- Literature review highlights the absence of a precise definition for severe facial fracture bleeding, leading to varied treatment outcomes.
Implications:
- Early detection and effective treatment are crucial to prevent irreversible shock in patients with facial fractures.
- Angiographic embolization is proposed as a primary treatment option for intractable bleeding after facial fractures, especially when packing fails.
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