Diagnosis and treatment of severe epistaxis after endoscopic skull base surgery
Objective To summarize the causes, treatment and prognosis of severe epistaxis after transnasal endoscopic skull base surgery. Methods and Results There were 12 patients with delayed severe epistaxis after transnasal endoscopic skull base surgery from February 2007 to January 2018. Surgical methods...
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Tianjin Huanhu Hospital
2019-04-01
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doaj-ff817682a9bd4ca4ba7911674b537b442020-11-24T21:51:08ZengTianjin Huanhu HospitalChinese Journal of Contemporary Neurology and Neurosurgery1672-67312019-04-011942642701896Diagnosis and treatment of severe epistaxis after endoscopic skull base surgeryQiang ZHANG0Huan-xin YU1Wei HANG2Xiang ZHAI3Gang LIU4Jian-min KANG5Department of Otorhinolaryngology Head and Neck Surgery, Tianjin Huanhu Hospital, Tianjin 300350, ChinaDepartment of Otorhinolaryngology Head and Neck Surgery, Tianjin Huanhu Hospital, Tianjin 300350, ChinaDepartment of Otorhinolaryngology Head and Neck Surgery, Tianjin Huanhu Hospital, Tianjin 300350, ChinaDepartment of Otorhinolaryngology Head and Neck Surgery, Tianjin Huanhu Hospital, Tianjin 300350, ChinaDepartment of Otorhinolaryngology Head and Neck Surgery, Tianjin Huanhu Hospital, Tianjin 300350, ChinaDepartment of Neurosurgery, Tianjin Huanhu Hospital, Tianjin 300350, ChinaObjective To summarize the causes, treatment and prognosis of severe epistaxis after transnasal endoscopic skull base surgery. Methods and Results There were 12 patients with delayed severe epistaxis after transnasal endoscopic skull base surgery from February 2007 to January 2018. Surgical methods included endoscopic electrocoagulation hemostasis in 7 cases (7/12), DSA-assisted endoscopic electrocoagulation hemostasis in one case (1/12), DSA-assisted superselective arterial embolization in 3 cases (3/12), and DSA-assisted superselective arterial embolization combined with endoscopic electrocoagulation hemostasis in one case (1/12). Successful hemostasis occurred in 11 cases, and one case died. Patients were followed up for (17.21 ± 3.42) months without epistaxis recurrence. Conclusions Epistaxis mainly occurs over 7 to 14 d after transnasal endoscopic skull base surgery. The choice of operation methods is related to the location of bleeding and responsible artery. Endoscopic electrocoagulation hemostasis is an effective method without serious complications. Patients with internal carotid artery (ICA) pseudoaneurysms can be cured by endoscopic electrocoagulation hemostasis plus arterial embolization. DOI: 10.3969/j.issn.1672-6731.2019.04.009http://www.cjcnn.org/index.php/cjcnn/article/view/1941EndoscopesSkull baseEpistaxisSurgical procedures, operativePostoperative complications |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Qiang ZHANG Huan-xin YU Wei HANG Xiang ZHAI Gang LIU Jian-min KANG |
spellingShingle |
Qiang ZHANG Huan-xin YU Wei HANG Xiang ZHAI Gang LIU Jian-min KANG Diagnosis and treatment of severe epistaxis after endoscopic skull base surgery Chinese Journal of Contemporary Neurology and Neurosurgery Endoscopes Skull base Epistaxis Surgical procedures, operative Postoperative complications |
author_facet |
Qiang ZHANG Huan-xin YU Wei HANG Xiang ZHAI Gang LIU Jian-min KANG |
author_sort |
Qiang ZHANG |
title |
Diagnosis and treatment of severe epistaxis after endoscopic skull base surgery |
title_short |
Diagnosis and treatment of severe epistaxis after endoscopic skull base surgery |
title_full |
Diagnosis and treatment of severe epistaxis after endoscopic skull base surgery |
title_fullStr |
Diagnosis and treatment of severe epistaxis after endoscopic skull base surgery |
title_full_unstemmed |
Diagnosis and treatment of severe epistaxis after endoscopic skull base surgery |
title_sort |
diagnosis and treatment of severe epistaxis after endoscopic skull base surgery |
publisher |
Tianjin Huanhu Hospital |
series |
Chinese Journal of Contemporary Neurology and Neurosurgery |
issn |
1672-6731 |
publishDate |
2019-04-01 |
description |
Objective To summarize the causes, treatment and prognosis of severe epistaxis after transnasal endoscopic skull base surgery. Methods and Results There were 12 patients with delayed severe epistaxis after transnasal endoscopic skull base surgery from February 2007 to January 2018. Surgical methods included endoscopic electrocoagulation hemostasis in 7 cases (7/12), DSA-assisted endoscopic electrocoagulation hemostasis in one case (1/12), DSA-assisted superselective arterial embolization in 3 cases (3/12), and DSA-assisted superselective arterial embolization combined with endoscopic electrocoagulation hemostasis in one case (1/12). Successful hemostasis occurred in 11 cases, and one case died. Patients were followed up for (17.21 ± 3.42) months without epistaxis recurrence. Conclusions Epistaxis mainly occurs over 7 to 14 d after transnasal endoscopic skull base surgery. The choice of operation methods is related to the location of bleeding and responsible artery. Endoscopic electrocoagulation hemostasis is an effective method without serious complications. Patients with internal carotid artery (ICA) pseudoaneurysms can be cured by endoscopic electrocoagulation hemostasis plus arterial embolization.
DOI: 10.3969/j.issn.1672-6731.2019.04.009 |
topic |
Endoscopes Skull base Epistaxis Surgical procedures, operative Postoperative complications |
url |
http://www.cjcnn.org/index.php/cjcnn/article/view/1941 |
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