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A Technique for Controlling the Uncontrollable

Peter B. Cinelli, MD; Aryeh H. Herrera, MD

Arch Otolaryngol Head Neck Surg. 1991;117(2):212-213.

Abstract
• In the management of trauma, control of life-threatening hemorrhage must be accomplished expeditiously if morbidity is to be decreased and mortality prevented. Hemorrhage from the inaccessible cranial base, especially when transected vessel stumps are not available for direct control, can be the most demanding, life-threatening, surgical emergency. We present our experience in utilizing an autologous bone grafting technique to successfully control severe hemorrhage from the base of the skull. In our review of the literature to date, we have been unable to ascertain whether this modality has been previously used.

(Arch Otolaryngol Head Neck Surg. 1991;117:212-213)

Author Affiliations
From the Department of Plastic Surgery, St Luke's—Roosevelt Hospital Center, New York, NY (Dr Cinelli) and Department of Surgery, Washington County Hospital, Hagerstown, Md (Dr Herrera).

Footnotes
Accepted for publication May 15, 1990.

Reprint requests to St Luke's—Roosevelt Hospital Center, Brodsky Bldg, Suite 6D, 425 W 59th St, New York, NY 10019 (Dr Cinelli).

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