The management of life-threatening haemorrhage following blunt facial trauma
| Autor: | J.J. Hutter, Anand K. Deva, R.A. Hopper, C.J. Boorer, J. Eskridge, Ken K. Y. Ho, U. Khan |
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| Rok vydání: | 2006 |
| Předmět: |
Adult
Male Severe bleeding Facial trauma medicine.medical_specialty medicine.medical_treatment External carotid artery Hemorrhage Wounds Nonpenetrating Blunt medicine.artery medicine Humans Embolization Facial Injuries Aged 80 and over medicine.diagnostic_test business.industry Accidents Traffic medicine.disease Embolization Therapeutic Surgery Epistaxis Blunt trauma Angiography Female business Ligation |
| Zdroj: | Journal of Plastic, Reconstructive & Aesthetic Surgery. 59:1257-1262 |
| ISSN: | 1748-6815 |
| Popis: | Life-threatening bleeding is uncommon following blunt facial trauma. There have been few reports in the literature describing its optimal management and a clear approach to treatment is yet to be defined. Reported strategies for control of facial haemorrhage include oro-nasal packing, external carotid artery ligation, transantral ligation of the internal maxillary artery, maxillary reduction and angiographic embolisation. Advances in angiography and selective vessel embolisation have made this the treatment of choice in cases of bleeding following penetrating facial injury. Its use in the management of bleeding following blunt facial trauma is unclear. The combined experience of the facial trauma teams at Harborview Hospital, Seattle, USA and Liverpool Hospital, Sydney, Australia yielded four cases of severe life-threatening haemorrhage following blunt trauma that underwent angiography. The roles of various management strategies were evaluated to generate a preferred management pathway in treating severe bleeding following blunt facial trauma. |
| Databáze: | OpenAIRE |
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