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Uncontrollable EpistaxisAngiographic Localization and Embolization
Jurgen Strutz, MD;
Martin Schumacher, MD
Arch Otolaryngol Head Neck Surg. 1990;116(6):697-699.
Abstract
• The method of choice for uncontrollable epistaxis that is refractory to anterior and posterior nasal packing is controversial. In a retrospective study, the therapeutic results in 42 patients with uncontrollable epistaxis were reviewed, with special consideration of 11 cases in which the patients received angiography and embolization of branches of the internal maxillary artery. Out of this collective, only one patient received surgery, ie, transantral internal maxillary artery ligation. The results of primary embolization demonstrated the effectiveness and illustrated the potential role of embolizing procedures in uncontrollable epistaxis.
(Arch Otolaryngol Head Neck Surg. 1990;116:697-699)
Author Affiliations
From the Department of Otorhinolaryngology (Dr Strutz) and the Section of Neuroradiology, Department of Radiology (Dr Schumacher), University of Freiburg (West Germany).
Footnotes
Accepted for publication February 8, 1990.
Reprint requests to Department of Otorhinolaryngology, University of Freiburg, Killianstrasse 5, D-7800 Freiburg, West Germany (Dr Strutz).
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