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C. KEITH WHITTAKER, MD
Kansas City, Mo

Arch Otolaryngol Head Neck Surg. 1986;112(1):112.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—The report by Beall et al,¹ "Total Ophthalmoplegia After Internal Maxillary Artery Ligation," in the October 1985 issue of the ARCHIVES is a horror story. It appears that the authors have been chastened by this experience, for they say, "All of this supports the viewpoint offered by many authors that a conservative approach is best, ie, surgery should be considered only when anterior and posterior packing fail to stop the bleeding in a 48-hour period." Their patient was operated on within 12 hours after a transfusion of 2 units of blood and a drop in the hematocrit from 35% to 29%. But the real horror is that otolaryngologists seem not to know about arteriography and interventional neuroradiology. Would any otolaryngologist have thought of balloon occlusion of the internal maxillary artery or the more exact branch that was bleeding? . . . [Full Text PDF of this Article]

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