 |
|
Use of Selective Arteriography in the Treatment of Epistaxis
Robert S. Rosnagle, MD;
William E. Allen, III, MD;
E. Leon Kier, MD;
Stephan L. G. Rothman, MD
Arch Otolaryngol. 1980;106(3):137-142.
Abstract
• Selective carotid arteriography can provide useful information in patients with massive epistaxis. It is limited in application because special techniques and preparation are necessary. Careful selection of patients is mandatory. It is not appropriate as a screening procedure for all patients with epistaxis. The procedure is especially useful when previous surgical control of the bleeding site has failed. Residual branches of the internal maxillary and ethmoid arteries are readily identified. The development of collateral blood flow to the nasal area from many sources can be recognized. The complexity of collateral blood flow emphasizes the necessity for controlling hemorrhage as close to the source as possible. At the same time, it suggests that long-term control of bleeding in the nasal area may fail due to this vast network of vessels.
(Arch Otolaryngol 106:137-142, 1980)
Author Affiliations
From the Department of Surgery, Section of Otolaryngology (Dr Rosnagle), and the Department of Diagnostic Radiology (Drs Allen, Kier, and Rothman), Yale University School of Medicine, New Haven, Conn.
Footnotes
Accepted for publication Nov 30, 1978.
Presented as a thesis to the American Laryngological, Rhinological, and Otological Society Inc, 1977.
Reprint requests to The New Haven Ear, Nose, Throat, and Facial-Plastic Surgery Group, 98 York St, New Haven, CT 06511 (Dr Rosnagle).
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES
Therapeutic Embolization in the Treatment of Intractable Epistaxis
Elahi et al.
Arch Otolaryngol Head Neck Surg 1995;121:65-69.
ABSTRACT
|
