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A case of intractable epistaxis

P el Jassar¹, D Moraitis, M Spencer

¹Department of Otolaryngology, Countess of Chester Hospital, UK.

The Journal of Laryngology and Otology

|March 24, 1998

Summary

Catheter embolization successfully treated severe nosebleeds when surgery was not possible due to complex neck anatomy. This interventional radiology technique offers an alternative for managing intractable epistaxis.

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Area of Science:

Interventional Radiology
Vascular Surgery
Otolaryngology

Background:

Intractable epistaxis (nosebleeds) often requires surgical intervention, such as external carotid artery ligation.
High bifurcation of the common carotid artery can complicate surgical approaches to epistaxis management.

Observation:

A patient with severe epistaxis presented challenges for surgical treatment due to anatomical variations.
Neck exploration failed to identify the external carotid artery for surgical ligation.

Findings:

Catheter-directed embolization was successfully employed to occlude the bleeding vessels.
This endovascular technique provided an effective alternative when surgical options were compromised.

Implications:

Catheter embolization is a viable treatment for intractable epistaxis, especially when surgical management is difficult.
Interventional radiology offers crucial solutions for complex vascular cases in head and neck surgery.
This case highlights the importance of advanced imaging and endovascular techniques in managing challenging epistaxis.

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