Journal of Yeungnam Medical Science

Review Article

Comprehensive understanding of vascular anatomy for endovascular treatment of intractable oronasal bleeding: Sungjun Moon; Yeungnam Univ J Med. 2018;35(1):7-16. Published online June 30, 2018; DOI: https://doi.org/10.12701/yujm.2018.35.1.7

9,074 View
161 Download
3 Crossref

Oronasal bleeding that continues despite oronasal packs or recurs after removal of the oronasal packs is referred to as intractable oronasal bleeding, which is refractory to conventional treatments. Severe craniofacial injury or tumor in the nasal or paranasal cavity may cause intractable oronasal bleeding. These intractable cases are subsequently treated with surgical ligation or endovascular embolization of the bleeding arteries. While endovascular embolization has several merits compared to surgical ligation, the procedure needs attention because severe complications such as visual disturbance or cerebral infarction can occur. Therefore, comprehensive understanding of the head and neck vascular anatomy is essential for a more effective and safer endovascular treatment of intractable oronasal bleeding.

Citations

Citations to this article as recorded by

Endovascular intervention for the treatment of epistaxis: cone beam CT review of anatomy, collateral, and treatment implications/efficacy
Madeline Hoover, Robert Berwanger, John A Scott, Andrew DeNardo, Krishna Amuluru, Troy Payner, Charles Kulwin, Eytan Raz, Daniel Gibson, Daniel H Sahlein
Journal of NeuroInterventional Surgery.2024; 16(2): 192. CrossRef
Effectiveness of Calcium Alginate Dressing in Combination with Nasal Endoscopic Bipolar Electrocoagulation and Low-Temperature Plasma Knife Treatment on Bleeding Volume, Nasal Ventilation, Stress Response, and Recurrence Rate in Patients with Refractory E
Yi Su, Xinye Guo, Yan Nie
Journal of Biomedical Nanotechnology.2023; 19(12): 2196. CrossRef
Woodruff’s plexus—arterial or venous?
Cezar Octavian Morosanu, Craig Humphreys, Stephanie Egerton, Claire M. Tierney
Surgical and Radiologic Anatomy.2022; 44(1): 169. CrossRef

Case Report

Management of Unilateral Airway Obstruction During Nasotracheal Intubation: Il Sook Seo; Yeungnam Univ J Med. 2007;24(2 Suppl):S702-709. Published online December 31, 2007; DOI: https://doi.org/10.12701/yujm.2007.24.2S.S702

1,136 View
2 Download

Abstract PDF: Nasotracheal intubation is commonly used in patients undergoing maxillofacial surgery. The tracheal tube is passed through the nasal cavity after induction of anesthesia, followed by direct laryngoscopy to insert the tube into the trachea under direct vision by using Magill forceps. Various complications resulting from nasal passage of the tube, such as epistaxis, turbinectomy or retropharyngeal dissection, have been reported. The most common complication of nasotracheal intubation is epistaxis and several recommendations have been made to reduce its incidence. In spite of efforts such as local application of vasoconstrictive drugs, thermosoftening of the tube, and use of a nasopharyngeal airway as a pathfinder, epistaxis cannot be prevented entirely. This case report describes an 18-year-old female patient with difficult nasal intubation due to narrow nasal passageway. The patient was admitted for mandible angle splitting ostectomy and angle resection for cosmetic purpose. Epistaxis had occurred due to repeated nasotracheal intubation attempts, and blood had been aspirated. After intubation, the patient was desaturated (SpO₂<92%) with asymmetric inflation of the chest wall during controlled ventilation. We took frequent suction and tube lavage with saline, thereafter changed patient’s position to right lateral decubitus, and chest percussion was done with a face mask and the palm of the hand. About 20 minutes after aspiration, the SpO₂ was restored to 98%, and the operation proceeded, which finished uneventfully. On the next day, the chest x-ray revealed segmental atelectatic change in the right lung field, and nasal packing was done because of recurrent epistaxis. The patient was discharged on the 4th postoperative day without complications.

First
Prev
Page of 1
Next
Last

Search