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Parichat Tanmit, Phati Angkasith, Panu Teeratakulpisarn, Chaiyut Thanapaisal, Palakorn Surakunprapha, Amnat Kitkuandee, Phumtham Limwattananon Department of Surgery, Faculty of Medicine, Khonkaen University, Khon Kaen, ThailandCorrespondence: Parichat TanmitDepartment of Surgery, Khonkaen University, 123 Moo16 Mittraphap Road, Nai-Muang, Muang District, Khon Kaen, 40002, ThailandTel +66850001714Email pari.tanmit@gmail.comIntroduction: Craniofacial trauma may potentially have significant blood loss which may lead to death in some trauma patients.Case Report: We report a case of a 43-year-old male who had a lethal noncompressible arterial hemorrhage from a penetrating wound on his left frontotemporal and preauricular region. Extensive bleeding was successfully temporarily controlled by external carotid artery (ECA) occlusion. The definitive operation was completed in a staged fashion following a computed tomography angiography assessment extension of the injury.Conclusion: Temporarily controlling the bleeding from the carotid artery should be considered as a life saving procedure in a lethal craniofacial injury.Keywords: craniofacial injury, external carotid artery ligation, temporary external carotid artery control, maxillary artery bleeding |
