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An unusual complication of epistaxis

Published online by Cambridge University Press:  29 June 2007

C. A. J. Prescott
C. A. J. Prescott*
Affiliation:
Cape Town, South Africa
*
Dr. C. A. J. Prescott, Specialist in Otolaryngology, University of Cape Town, Medical School, Observatory, 7925, Cape, South Africa.
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Abstract

Summary

Ten days after left-sided external carotid artery ligation for control of profuse epistaxis a complete left-sided facial nerve palsy developed in a 25-year-old male. Abnormal bleeding or clotting disorders had been excluded. It is postulated that either thrombosis or embolus obstructed the petrosal branch from the middle meningeal artery on the same side with subsequent ischaemia resulting in nerve degeneration of the intratemporal portion of the facial nerve.

Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 102 , Issue 2 , February 1988 , pp. 176
Copyright
Copyright © JLO (1984) Limited 1988

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References

De Vries, N., Versluis, R. J. J., Valk, J. and Snow, G. B. (1986) Facial nerve paralysis following embolisation for severe epistaxis. Journal of Laryngology and Otology, 100: 207–210.CrossRefGoogle ScholarPubMed