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Severe late-onset epistaxis following le Fort I osteotomy: angiographic localization and embolization

Published online by Cambridge University Press:  29 June 2007

Neil B. Solomons*
Affiliation:
Departments of Otolaryngology & Radiology, Groote Schuur Hospital and University of Cape Town Medical School.
Ray Blumgart
Affiliation:
Departments of Otolaryngology & Radiology, Groote Schuur Hospital and University of Cape Town Medical School.
*
Neil B. Solomons, ENT Department. Royal Free Hospital, Pond Street, London NW3 2QG.

Abstract

Epistaxis following maxillofacial trauma or maxillofacial surgery is uncommon. It usually occurs within 24 hours of the injury and can usually be controlled by packing. Rarely internal maxillary artery ligation is necessary and embolization has been used in some cases of severe trauma.

We present a case of severe late-onset epistaxis following Le Fort I osteotomy. The diagnostic approach and treatment are discussed.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1988

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