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Published on: September 29, 2018
Posttraumatic epistaxis from injury to the pterygovaginal artery
N M Borden1, D Dungan, B L Dean
1Department of Neuroradiology, Barrow Neurological Institute, Phoenix, AZ 85013, USA.
Abstract:
Facial and skull base trauma can cause clinically significant epistaxis. Optimal evaluation and treatment require knowledge of the pertinent vascular and skull base anatomy. We describe a patient with extensive skull base injury and epistaxis in whom CT revealed a fracture through the roof of the nasopharynx and arteriography showed injury to the pterygovaginal (pharyngeal) artery. The fracture was successfully treated with transarterial particulate embolization.
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