Document Detail


Hard palate necrosis after bilateral internal maxillary artery embolization for epistaxis.
MedLine Citation:
PMID:  17667134     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Superselective embolization is an effective method of treating epistaxis that is refractory to conservative treatment. Soft tissue necrosis is a rare complication owing to the extensive collateral blood supply of the head and neck. We describe the case of a patient who developed unilateral necrosis of the mucosa overlying the hard palate after undergoing bilateral internal maxillary artery embolization. The presence of a nasopharyngeal balloon and bilateral nasal packs for 2 days after embolization may have compressed collateral vessels in the soft palate and nose and contributed to this complication. Packing should be removed as soon as possible after embolization.
Authors:
Joel Guss; Marc A Cohen; Natasha Mirza
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Laryngoscope     Volume:  117     ISSN:  0023-852X     ISO Abbreviation:  Laryngoscope     Publication Date:  2007 Sep 
Date Detail:
Created Date:  2007-10-24     Completed Date:  2007-12-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8607378     Medline TA:  Laryngoscope     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1683-4     Citation Subset:  IM    
Affiliation:
Department of Otorhinolaryngology-Head and Neck Surgery, the University of Pennsylvania, and the Philadelphia Veterans Affairs Medical Center, Philadelphia, Pennsylvania 19104, USA. joel.guss@uphs.upenn.edu
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MeSH Terms
Descriptor/Qualifier:
Embolization, Therapeutic / methods*
Epistaxis / physiopathology,  therapy*
Humans
Male
Maxillary Artery / physiopathology*
Middle Aged
Necrosis
Palate, Hard / pathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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