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Carotico-cavernous fistula following septorhinoplasty

Published online by Cambridge University Press:  29 June 2007

Vijay B. Pothula*
Affiliation:
Department of Otolaryngology, Warrington General Hospital, Warrington, UK.
Krishna T. V. Reddy
Affiliation:
Department of Otolaryngology, Warrington General Hospital, Warrington, UK.
T. E. Nixon
Affiliation:
Department of Otolaryngology, Warrington General Hospital, Warrington, UK.
*
Address for correspondence: Mr V. B. Pothula, F.R.C.S., Department ofOtolaryngology, Warrington General Hospital, Warrington WA5 1QG.

Abstract

Septorhinoplasty is a very common operation in otolaryngological practice. We report the second case of a carotico-cavernous fistula following septorhinoplasty. This case presented with very severe epistaxis before the appearance of the typical pulsating exophthalmos, ophthalmoplegia, headache and engorged veins on the right side of the face. Our case was treated by endovascular thrombosis with electrolytically detachable coils.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1999

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