Nishijima Y, Kishi H, Kurose K, Yamanaka K, Muraji T, Kin K, Komiyama M, Nishio A
Department of Neurosurgery, Shirokita Municipal Hospital.
No Shinkei Geka. 1993 Sep;21(9):809-13.
We have encountered 2 cases of hemorrhagic vascular lesion in the external carotid artery system caused by facial injury. In case 1, treatment of epistaxis by nasal packing was unsuccessful. Good result was obtained by intravascular embolization in the internal maxillary artery using polyvinyl alcohol particles and gelatin sponge pieces. In case 2, massive subgaleal hemorrhage due to tearing of the middle meningeal artery caused by a skull base fracture appeared following surgery for open skull fracture. Hemostasis was performed successfully by intravascular embolization in the middle meningeal artery using microcoils and gelatin sponge pieces. In cases of facial injuries with hemorrhagic lesions in the external carotid artery system, hemostasis is generally difficult. Referring to these two cases, we think that the treatment of choice is angiography followed by intravascular embolization.
