Buyukcam Fatih, Sonmez Feruza Turan, Aydin Kemal
Department of Emergency Medicine, Diskapi Yildirim Beyazit Training and Education Hospital, Ankara, Turkey.
J Craniofac Surg. 2010 Jul;21(4):1304-5. doi: 10.1097/SCS.0b013e3181e1e834.
Approximately 60% of the adult population experience at least 1 episode of epistaxis in their lifetimes. Because the blood supply of the nasal mucosa ultimately originates from the carotid arteries, acute epistaxis is potentially very serious. Sudden and massive epistaxis is usually fatal, and it is one of the most dreaded complications after radiotherapy (RT) among patients with cancer of the head and neck region. To the best of our knowledge, few patients who are alive have been presented with massive epistaxis due to ruptured internal carotid artery pseudoaneurysm associated with RT in the literature. Herein, we reported a successfully treated massive epistaxis case of ruptured internal carotid artery pseudoaneurysm associated with RT in a patient who has nasopharyngeal carcinoma.
大约60%的成年人口在其一生中至少经历过1次鼻出血。由于鼻黏膜的血液供应最终源自颈动脉，急性鼻出血可能非常严重。突发大量鼻出血通常是致命的，并且它是头颈部癌症患者放疗（RT）后最可怕的并发症之一。据我们所知，文献中很少有存活患者因放疗相关的颈内动脉假性动脉瘤破裂而出现大量鼻出血的情况。在此，我们报告了1例鼻咽癌患者放疗相关的颈内动脉假性动脉瘤破裂导致大量鼻出血且成功治愈的病例。
