Borden N M, Dungan D, Dean B L, Flom R A
Department of Neuroradiology, Barrow Neurological Institute, Phoenix, AZ 85013, USA.
AJNR Am J Neuroradiol. 1996 Jun-Jul;17(6):1148-50.
Facial and skull base trauma can cause clinically significant epistaxis. Optimal evaluation and treatment require knowledge of the pertinent vascular and skull base anatomy. We describe a patient with extensive skull base injury and epistaxis in whom CT revealed a fracture through the roof of the nasopharynx and arteriography showed injury to the pterygovaginal (pharyngeal) artery. The fracture was successfully treated with transarterial particulate embolization.
颜面部及颅底创伤可导致具有临床意义的鼻出血。最佳的评估和治疗需要了解相关的血管及颅底解剖结构。我们描述了一名患有广泛颅底损伤及鼻出血的患者,其CT显示鼻咽顶部骨折,动脉造影显示翼管(咽)动脉损伤。该骨折通过经动脉颗粒栓塞术成功治疗。