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Skull Base 2000; Volume 10(Number 03): 153-154
DOI: 10.1055/s-2000-9318
Copyright © 2000 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Life-Threatening Epistaxis Complicating Extended Maxillotomy for Chordoma

D. C. Walsh, FRCS. (1), A. T. H. Casey, FRCS. (SN), H. A. Crockard, FRCS,. FRCS (Ed)
  • National Hospital for Neurology and Neurosurgery, London, United Kingdom
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Publication History

Publication Date:
31 December 2000 (online)

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ABSTRACT

Postoperative hemorrhagic complications of the ``open-door'' maxillotomy approach to the skull base and clivus are uncommon. We report a case of maxillary artery pseudoaneurysm and discuss the management of this condition.

REFERENCES

  • 1 Kanaval A B. Removal of tumours of the pituitary body by an infranasal route.  JAMA . 1909;  53 1704-1707
    PubMedGoogle Scholar
  • 2 Crockard H A. The transoral approach to the base of the brain and upper cervical cord.  Ann R Coll Surg Engl . 1985;  67 321-325
    PubMedGoogle Scholar
  • 3 Archer D J, Young S, Uttley D. Basilar aneurysms: a new transclival approach via maxillotomy.  J Neurosurg . 1987;  67 54-58
    PubMedGoogle Scholar
  • 4 James D, Crockard H A. Surgical access to the base of the skull and upper cervical spine by extended maxillotomy.  Neurosurgery . 1991;  29 411-416
    CrossrefPubMedGoogle Scholar
  • 5 Langenbeck B V. Beitrage Sur Osteoplastik: Die Osteoplastiche Resecktion des Oberkiefers. In: Goschen A ed. Deutsche Klinik. Berlin: Reimer 1859
    Google Scholar
  • 6 Crockard H A, Johnson F. Development of transoral approaches to lesions of the skull base and craniocervical junction.  Neurosurg Q . 1993;  3 61-82
    PubMedGoogle Scholar
  • 7 Tuite G F, Veres R, Crockard H A, Sell D. Paediatric transoral surgery: indications, complications and long term outcome.  J Neurosurg . 1996;  84 573-583
    CrossrefPubMedGoogle Scholar
  • 8 Williams W G, Lo L J, Chen Y R. The Le Fort I palatal split approach for skull base tumours: Efficacy, complications and outcome.  Plast Reconstr Surg . 1998;  102 2310-2319
    CrossrefPubMedGoogle Scholar
  • 9 Coel M N, Janon E A. Angiography in patients with severe epistaxis.  AJR . 1972;  116 37-40
    PubMedGoogle Scholar
  • 10 Duggan C, Brylski J. Angiographic demonstration of bleeding in intractable traumatic epistaxis.  Radiology . 1970;  97 605-606
    PubMedGoogle Scholar
  • 11 Kingsley D, O'Connor A F. Embolisation in otolaryngology.  J Laryngol Otol . 1982;  96 439-450
    PubMedGoogle Scholar
  • 12 Mehtrota O N, Brown G ED, Widdowson W P, Wilson J P. Arteriography and selective embolisation in the control of life threatening haemorrhage following facial fractures.  Br J Plast Surg . 1984;  37 482-485
    CrossrefPubMedGoogle Scholar
  • 13 Solomon N B, Blumgart R. Severe late-onset epistaxis following Le Fort I osteotomy: Angiographic localisation and embolisation.  J Laryngol Otol . 1988;  102 260-263
    PubMedGoogle Scholar
  • 14 Hunter K, Gibson R. Arterial ligation for severe epistaxis.  J Laryngol Otol . 1969;  83 1099-1103
    PubMedGoogle Scholar