Hostname: page-component-78c5997874-dh8gc Total loading time: 0 Render date: 2024-11-03T00:32:18.086Z Has data issue: false hasContentIssue false
  • English
  • Français

Severe late-onset epistaxis following le Fort I osteotomy: angiographic localization and embolization

Published online by Cambridge University Press:  29 June 2007

Neil B. Solomons  and
Ray Blumgart
Neil B. Solomons*
Affiliation:
Departments of Otolaryngology & Radiology, Groote Schuur Hospital and University of Cape Town Medical School.
Ray Blumgart
Affiliation:
Departments of Otolaryngology & Radiology, Groote Schuur Hospital and University of Cape Town Medical School.
*
Neil B. Solomons, ENT Department. Royal Free Hospital, Pond Street, London NW3 2QG.
Get access Rights & Permissions [Opens in a new window]

Abstract

Epistaxis following maxillofacial trauma or maxillofacial surgery is uncommon. It usually occurs within 24 hours of the injury and can usually be controlled by packing. Rarely internal maxillary artery ligation is necessary and embolization has been used in some cases of severe trauma.

We present a case of severe late-onset epistaxis following Le Fort I osteotomy. The diagnostic approach and treatment are discussed.

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 102 , Issue 3 , March 1988 , pp. 260 - 263
Copyright
Copyright © JLO (1984) Limited 1988

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Allison, D. J. (1978) Therapeutic embolization. British Journal of Hospital Medicine, 20: 707–714.Google Scholar
Beall, J., Scholl, P. and Jafek, B. (1985) Total ophthalmoplegia after internal maxillary artery ligation. Archives of Otolarvngology. 111: 696–698.CrossRefGoogle ScholarPubMed
Buchanan, T. and Holtmann, B. (1983) Severe epistaxis in facial fractures. Plastic and Reconstructive Surgery, 71: 768–771.CrossRefGoogle ScholarPubMed
Coel, M. N. and Janon, E. A. (1972) Angiography in patients with severe epistaxis. American Journal of Roentgenology, 116: 37–40.CrossRefGoogle Scholar
Cooke, E. T. M. (1985) An evaluation and clinical study of severe epistaxis treated by arterial lieation. Journal of Laryngology and Otology, 99: 745–749.Google Scholar
De Vriesi, N., Versluis, R. J. J., Valk, J. and Snow, G. B. (1986) Facial nerve paralysis following embolization for severe epistaxis. Journal of Laryngology and Otology, 100: 207–210.CrossRefGoogle Scholar
Duggan, C. and Brylski, J. (1970) Angiographic demonstration of bleeding in intractible traumatic epistaxis. Radiology, 97: 605–606.CrossRefGoogle ScholarPubMed
Hunter, K. and Gibson, R. (1969) Arterial ligation for severe epistaxis. Journal of Laryngology and Otology, 83: 1099–1103.CrossRefGoogle ScholarPubMed
Johnson, L. P. and Parker, J. L. (1976) Blindness and total ophthalmoplegia. A complication of transantral ligation of the internal maxillary artery for epistaxis. Archives of Otolaryngology, 102: 501–504.CrossRefGoogle ScholarPubMed
Kingsley, D. and O'Connor, A. F. (1982) Embolization in otolaryngology. Journal of Laryngology and Otology, 96: 439–450.CrossRefGoogle ScholarPubMed
Lanigan, D. T. and West, R. A. (1984) Management of post operative haemorrhage following the Le Fort I maxillary osteotomy. Journal of Oral and Maxillofacial Surgery, 42: 367–375.CrossRefGoogle ScholarPubMed
Luce, E. A., Tubb, T. D. and Moore, A. M. (1979) Review of 1000 major facial fractures and associated injuries. Plastic and Reconstructive Surgery, 63: 26–30.CrossRefGoogle Scholar
Malcomson, K. G. (1963) The surgical management of massive epistaxis. Journal of Laryngology and Otology, 77: 299–314.CrossRefGoogle ScholarPubMed
Mehrotra, O. N., Brown, G. E. D., Widdowson, W. P. and Wilson, J. P. (1984) Arteriography and selective embolization in the control of life-threatening haemorrhage following facial fractures. British Journal of Plastic Surgery, 37: 482–485.CrossRefGoogle ScholarPubMed
Merland, J. J., Melki, J. P., Chiras, J., Riche, M. C. and Hadjean, E. (1980) Place of embolization in the treatment of severe epistaxis. Laryngoscope, 90: 1694–1704.CrossRefGoogle ScholarPubMed
Rosnagle, R. S., Yanagisawa, E. and Smith, H. W. (1973) Specific vessel ligation for epistaxis: survey of 60 cases. Laryngoscope, 83: 517–525.Google Scholar
Sokoloff, J., Wickbom, I., McDonald, D., Brahme, F., Goergen, T. G. and Goldberger, L. E. (1974) Therapeutic percutaneous embolization in intractable epistaxis. Radiology, III: 285–287.CrossRefGoogle Scholar
Tadwalker, V. D., Santos, V. B. and Polisar, I. A. (1985) Angiography in the treatment of severe epistaxis. Ear, Nose and Throat Journal, 64: 60–64.Google Scholar