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Massive Posterior EpistaxisA Manifestation of Internal Carotid Injury at the Skull Base
Bechara Y. Ghorayeb, MD;
Dennis R. Kopaniky, MD;
Joel W. Yeakley, MD
Arch Otolaryngol Head Neck Surg. 1988;114(9):1033-1037.
Abstract
Severe crushing head injuries can produce massive posterior epistaxis as a result of injury to the internal carotid artery at the skull base. We describe two such cases with traumatic pseudoaneurysm of the internal carotid artery. They were managed with detachable balloon embolization. The anatomy of the internal carotid artery is reviewed. The diagnosis of pseudoaneurysms and their incidence, clinical presentation, and management are discussed.
(Arch Otolaryngol Head Neck Surg 1988;114:1033-1037)
Author Affiliations
From the Departments of Otolaryngology–Head and Neck Surgery (Dr Ghorayeb), Neurosurgery (Dr Kopaniky), and Radiology (Dr Yeakley), University of Texas Medical School, University of Texas Health Science Center at Houston.
Footnotes
Accepted for publication May 23, 1988.
Reprint requests to the Department of Otolaryngology—Head and Neck Surgery, University of Texas Health Science Center at Houston, 6431 Fannin, Suite 6132, Houston, TX 77030 (Dr Ghorayeb).
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ABSTRACT
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