대한두개안면성형외과학회지 (Archives of Craniofacial Surgery)

  • 제17권1호
  • /
  • Pages.28-30
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  • 2016
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  • 2287-1152(pISSN)
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  • 2287-5603(eISSN)
대한두개안면성형외과학회 (Korean Cleft Palate-Craniofacial Association)
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Massive Hemorrhage Facial Fracture Patient Treated by Embolization

  • Kim, Moo Hyun (Department of Plastic and Reconstructive Surgery, Dong Kang General Hospital) ;
  • Yoo, Jae Hong (Department of Plastic and Reconstructive Surgery, Dong Kang General Hospital) ;
  • Kim, Seung Soo (Department of Plastic and Reconstructive Surgery, Dong Kang General Hospital) ;
  • Yang, Wan Suk (Department of Plastic and Reconstructive Surgery, Dong Kang General Hospital)
  • 투고 : 2015.02.17
  • 심사 : 2015.12.03
  • 발행 : 2016.03.20
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초록

Major maxillofacial bone injury itself can be life threatening from both cardiovascular point of view, as well as airway obstruction. Significant hemorrhage from facial fracture is an uncommon occurrence, and there is little in the literature to guide the management of these patients. We report a 73-year-old male driver who was transported to our hospital after a motor vehicle collision. The patient was hypotensive and tachycardic at presentation and required active fluid resuscitation and transfusion. The patient was intubated to protect the airway. All external attempts to control the bleeding, from packing to fracture reduction, were unsuccessful. Emergency angiogram revealed the bleeding to originate from terminal branches of the sphenopalatine artery, which were embolized. This was associated with cessation of bleeding and stabilization of vital signs. Despite the age and severity of injury, the patient recovered well and was discharged home at 3 months with full employment. In facial trauma patients with intractable bleeding, transcatheter arterial embolization should be considered early in the course of management to decrease mortality rate.

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참고문헌

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피인용 문헌

  1. Embolization of internal maxillary artery prior to open reduction internal fixation for maxillofacial trauma vol.3, pp.2, 2019, https://doi.org/10.23736/s2532-3466.19.00159-0
  2. Life-threatening traumatic epistaxis due to massive bleeding into the maxillary sinus vol.32, pp.None, 2016, https://doi.org/10.1016/j.tcr.2021.100434