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Techniques for Achieving Hemostasis from Choanoid Cranial Foramina.
Zach Folzenlogen1, Ken R Winston1
1Department of Neurosurgery, University of Colorado School of Medicine, Denver Health, Denver, Colorado, USA; The Children's Hospital Colorado, Aurora, Colorado, USA.
World Neurosurgery
|February 13, 2017
Summary
Hemorrhage from choanoid bony foramina, often difficult to control, can be effectively managed using simple techniques. These methods provide rapid and reliable control for both arterial and venous bleeding.
Area of Science:
- Neurosurgery
- Anatomy
Background:
- Hemorrhage from cranial foramina can be challenging to manage.
- Choanoid bony foramina present unique anatomical considerations for bleeding control.
Observation:
- Reviewed medical records of 3 patients with severe hemorrhage from choanoid foramina.
- Identified bleeding from the foramen spinosum and occipital bone convexity.
Findings:
- Arterial bleeding from the foramen spinosum was successfully controlled using a wooden peg in two patients.
- Venous bleeding from an occipital bone foramen was managed with a bone wedge in one patient.
Implications:
- These techniques offer a quick and reliable method for controlling difficult cranial foramina hemorrhage.
- The described techniques are applicable to both arterial and venous bleeding scenarios.
- Potential for widespread adoption in neurosurgical and trauma settings.
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