Related Experiment Videos
[Postraumatic massive epistaxis. An indication for selective arterial embolization].
V Pino Rivero1, A González Palomino, G Trinidad Ruíz
1Complejo Hospitalario Infanta Cristina, Facultativo Especialista de Otorrinolaringología, Badajoz. vicentepinorivero@terra.com
Anales Otorrinolaringologicos Ibero-Americanos
|December 2, 2005
Summary
Massive epistaxis from nasal trauma was treated with embolization and Functional Endoscopic Nasal Surgery (FENS). This approach effectively stopped severe nosebleeds when initial treatments failed, offering a viable solution for persistent cases.
Area of Science:
- Otorhinolaryngology
- Vascular Surgery
- Emergency Medicine
Background:
- Massive epistaxis, or severe nosebleeds, can be life-threatening and challenging to manage.
- Nasal trauma is a common cause of epistaxis, often requiring aggressive intervention.
- Traditional methods may fail, necessitating advanced treatment strategies.
Observation:
- A 38-year-old male presented with massive epistaxis following nasal trauma.
- Initial management included posterior packing, blood transfusion, and internal maxillary artery embolization.
Findings:
- Functional Endoscopic Nasal Surgery (FENS) with cauterization of septal bleeding points was performed after initial embolization.
- The patient was discharged after 48 hours with anterior packing, experiencing no further epistaxis.
Implications:
- Angiography with selective embolization is a crucial intervention for intractable epistaxis when less invasive methods are insufficient.
- This case underscores the efficacy of combining embolization with endoscopic surgical techniques for managing complex epistaxis.