Abstract
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.
MeSH terms
-
Adolescent
-
Angiography
-
Embolization, Therapeutic
-
Epistaxis / diagnostic imaging
-
Epistaxis / etiology*
-
Epistaxis / therapy
-
Extravasation of Diagnostic and Therapeutic Materials / diagnostic imaging
-
Extravasation of Diagnostic and Therapeutic Materials / therapy
-
Facial Injuries / diagnostic imaging*
-
Facial Injuries / therapy
-
Female
-
Humans
-
Maxillary Artery / diagnostic imaging
-
Maxillary Artery / injuries*
-
Pharynx / blood supply*
-
Skull Base / blood supply
-
Skull Base / injuries
-
Tomography, X-Ray Computed