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Massive epistaxis following sphenoid sinus exploration

Published online by Cambridge University Press:  29 June 2007

L. J. Hollis
Affiliation:
Ear, Nose and Throat Department, Lewisham Hospital, Lewisham, London SE13 6LH.
J. A. McGlashan
Affiliation:
Ear, Nose and Throat Department, Lewisham Hospital, Lewisham, London SE13 6LH.
R. M. Walsh
Affiliation:
Ear, Nose and Throat Department, Lewisham Hospital, Lewisham, London SE13 6LH.
D. A. Bowdler*
Affiliation:
Ear, Nose and Throat Department, Lewisham Hospital, Lewisham, London SE13 6LH.
*
Mr D. A. Bowdler, Southmead Hospital, Westbury-on-Trym, Bristol BS10 5NB.

Abstract

Internal carotid artery trauma is a rare but potentially disastrous complication of surgery to the sphenoid sinus and pituitary gland. Emergency and elective procedures to establish haemostasis are discussed.

Type
Radiology in Focus
Copyright
Copyright © JLO (1984) Limited 1994

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References

Awad, I., Sawhny, B., Little, J. R. (1982) Traumatic postsurgical aneurysm of the intracavernous carotid artery: a delayed presentation. Surgical Neurology 18: 5457.CrossRefGoogle ScholarPubMed
Bergland, R. M., Ray, B. S., Torack, R. M. (1968) Anatomical variations in the pituitary gland and adjacent structures in 225 human autopsy cases. Journal of Neurosurgery 28: 9399.CrossRefGoogle ScholarPubMed
Britt, R. H., Silverberg, G. D., Prolo, D. J., Kendrick, M. M. (1981) Balloon catheter occlusion for cavernous carotid artery injury during transsphenoidal hypophysectomy. Journal of Neurosurgery 55: 450452.CrossRefGoogle ScholarPubMed
Cabezudo, J. M., Carrillo, R., Vaquero, J., Areitio, E., Martinez, R. (1981) Intracavernous aneurysm of the carotid artery following transsphenoidal surgery. Journal of Neurosurgery 54: 118121.Google Scholar
Laws, E. R. Jr., Kern, E. B. (1976) Complications of transsphenoidal surgery. Clinical Neurosurgery 23: 401416.Google Scholar
Lister, J. R., Sypert, G. W. (1979) Traumatic false aneurysm and carotid-cavernous fistula: a complication of sphenoidotomy. Neurosurgery 5: 473475.Google Scholar
Mahmoud, N. A. (1979) Traumatic aneurysm of the internal carotid artery and epistaxis. Journal of Laryngology and Otology 93: 629656.CrossRefGoogle ScholarPubMed
McCormick, W. F, Beals, J. D. (1964) Severe epistaxis caused by ruptured aneurysm of the internal carotid artery. Journal of Neurosurgery 21: 678686.CrossRefGoogle ScholarPubMed
Moore, D., Budde, R. B., Hunter, C. R., Mayfield, F. H. (1979) Massive epistaxis from aneurysm of the carotid artery. Surgical Neurology 11: 115117.Google ScholarPubMed
Prolo, D. J., Burres, K. P., Hanbery, J. W. (1977) Balloon occlusion of carotid-cavernous fistula: introduction of a new catheter. Surgical Neurology 7: 209214.Google Scholar
Renn, W. H., Rhoton, A. L. Jr. (1975) Microsurgical anatomy of the sellar region. Journal of Neurosurgery 43: 288298.Google Scholar
Robbins, J. B., Fitz-Hugh, G. S., Jane, J. A. (1976) Intracranial carotid catastrophies encountered by the otolaryngologist. Laryngoscope 86: 893902.Google Scholar
Wakai, S., Fukushima, T, Furihata, T., Sano, K. (1979) Association of cerebral aneurysm with pituitary adenoma. Surgical Neurology 12: 503507.Google Scholar
Wakai, S., Yoshimasu, N., Eguchi, T., Ashikawa, R. (1980) Traumatic intracavernous aneurysm of the internal carotid artery following surgery for chronic sinusitis. Surgical Neurology 13: 391394.Google Scholar
Wilson, C. B., Dempsey, L. C. (1978) Transspenoidal microsurgical removal of 250 pituitary adenomas. Journal of Neurosurgery 48: 1322.CrossRefGoogle Scholar
Yamaura, A., Makino, H., Haschisu, H., Takemiya, S. (1978) Secondary aneurysm due to arterial injury during surgical procedures. Surgical Neurology 10: 327333.Google ScholarPubMed