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Ligation of the Internal Maxillary Artery for Intrac-table Epistaxis:3 D Imaging of Intenal Maxillary Artery Using Helical CTscan Toru Handa 1,5 1Department of Otorhinolaryngology, Akitsu Prefectual Hospital pp.213-216
Published Date 2001/3/20
DOI https://doi.org/10.11477/mf.1411902321
  • Abstract
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Sever posterior epistaxis is one of the serious clinical problems. Nasal bleeding usually occurs in the anterior septal region, where it can be seen easily and controlled with topical cautery or local-ized packing. When the bleeding occurs in the pos-terior nose, it becomes a more serious problem. Manymethods have been used to control posterior epis-taxis. Some of these are electrocautery, posterior nasal packing, vascular ligation and therapeutic percutaneous embolization.

Between 1997 and 2000, nineteen patients were admitted to our hospital because of intractable epistaxis. There were 16 male and 3 female patients whose average age was 55 years. Ten of 19 patents were hypertensive, and none of these had undergo-ing treatment. Five of 19 patients received maxil-lary artery ligation. Clinical applications of 3 D imaging of the internal maxillary artery using helical CT scan were done for 5 patients. These images were helpful for planning of ligation of the internal maxillary artery.


Copyright © 2001, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1316 印刷版ISSN 0914-3491 医学書院

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