Diagnosis and management of epistaxis caused by traumatic pseudoaneurysm
- VernacularTitle:头面部外伤性假性动脉瘤致鼻出血的诊治
- Author:
Dezhi YU
;
Jianxin QIU
;
Qun SHA
;
Jianming YANG
;
Ye TAO
;
Wei CAO
- Publication Type:Journal Article
- Keywords:
Epistaxis;
Aneurysm,False;
Angiography,Digital Subtraction;
Embolization,Therapeutic
- From:
Chinese Archives of Otolaryngology-Head and Neck Surgery
2006;0(07):-
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To study the diagnosis and management of epistaxis caused by traumatic pseudoaneurysm.METHODS The clinical data of 16 cases with epistaxis caused by traumatic pseudoaneurysm were retrospectively studied.There were 12 males and 4 females.Their ages ranged from 16 to 41 years with an average of 25.4 years.RESULTS All the patients were cured via digital subtraction angiogrophy(DSA) and embolization except one died.The time between the hospitalization and the DSA examinat ion was 3 to15 days.Interestingly,every patient had received anterior and posterior nasal packing one to 5 times.CONCLUSION If the anterior and posterior nasal packing were not effective to the patients with repeated and vast nasal bleeding,who had trauma history before nasal bleeding,the DSA examination should be carried out immediately to identify whether the pseudoaneurysm exists.
