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J Korean Soc Emerg Med > Volume 14(1); 2003 > Article
Journal of The Korean Society of Emergency Medicine 2003;14(1): 137-140.
Radiologic Intervention for Traumatic Epistaxis
Sang Cheon Choi, Ji Yoon Jung, Kook Jong Lee, Je Hwan Won, Joon Pil Cho
1Department of Emergency Medicine, Ajou University School of Medicine, Suwon, Korea. jpcho@ajou.ac.kr
2Department of Radiology, Ajou University School of Medicine, Suwon, Korea.
We report a case in which traumatic epistaxis with a carotid cavernous fistula was successfully treated by using radiologic intervention. Since the inner facial bone is an anatomically weak structure and has numerous bleeding sites, traumatic epistaxis is profuse and can not be controlled well by using traditional treatments such as gauze, merocel(R), and foley balloon packing. Uncontrolled epistaxis may cause unstable vital signs and threaten the patient. In the case of failure through traditional treatments, angiographic embolization can be used as a treatment of choice because angiographic embolization can be done at a high success rate with few complications. Stroke, facial palsy, visual loss, and facial pain are the most common complications. In our case, we had tried traditional treatments first, but there was no marked improvement. After the angiographic embolization had been conducted, epistaxis was successfully controlled. The patient 's vital signs were stabilized, and he was admitted to the ICU.
Key words: Trauma, Epistaxis, Embolization
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