Daniilidis I, Markou K, Nikolaou A, Giavroglou K
Hals-Nasen-Ohren-Klinik der Aristoteles-Universität von Thessaloniki.
Laryngorhinootologie. 1996 Sep;75(9):529-32. doi: 10.1055/s-2007-997627.
Embolization of the maxillary artery is a successful treatment, alternative in cases of recurrent severe nosebleeds when anterior and posterior nasal packing have failed to achieve permanent control.
Two cases of male patients are presented who suffered from severe nosebleeds after a submucous resection of the septum, electrocautery of the inferior turbinate, and submucosal conchotomy. Anterior and posterior nasal packing proved to be unsuccessful. Angiography of the internal and external carotid artery was performed and selective embolization of the mayillary artery with absorbable material followed.
In both cases embolization was successful and uneventful. Twenty-four hours after treatment, the nasal packing was removed and no recurrence was observed.
Selective embolization of the maxillary artery is a successful alternative for the treatment of severe recurrent nosebleeding-equally effective with surgical ligation of the bleeding arteries.
上颌动脉栓塞术是一种成功的治疗方法，适用于前后鼻孔填塞未能永久控制复发性严重鼻出血的情况。
介绍了两例男性患者，他们在鼻中隔黏膜下切除术、下鼻甲电灼术和黏膜下鼻甲切除术术后出现严重鼻出血。前后鼻孔填塞均未成功。对颈内动脉和颈外动脉进行了血管造影，并随后用可吸收材料对上颌动脉进行了选择性栓塞。
两例栓塞均成功且顺利。治疗24小时后取出鼻腔填塞物，未观察到复发。
上颌动脉选择性栓塞术是治疗严重复发性鼻出血的一种成功替代方法——与出血动脉的手术结扎同样有效。
