Severe complication of posterior nasal packing: Case Report

Summary Introduction:  Severe Epistaxis is common in patients with head trauma, especially when associated with multiple fractures of the face and skull base. Several methods of controlling bleeding that can be imposed. The anterior nasal tapenade associated with posterior Foley catheter is one of t...

Full description

Saved in:
Bibliographic Details
Published in:International Archives of Otorhinolaryngology 2012-10, Vol.16 (4), p.527-529
Main Authors: Pinto, José Antônio, Cintra, Pedro Paulo Vivacqua da Cunha, Sônego, Thiago Branco, Leal, Carolina de Farias Aires, Artico, Marina Spadari, Soares, Josemar dos Santos
Format: Article
Language:English
Subjects:
Case Report
craniocerebral trauma
epistaxis
fracture of the skull base
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Summary Introduction:  Severe Epistaxis is common in patients with head trauma, especially when associated with multiple fractures of the face and skull base. Several methods of controlling bleeding that can be imposed. The anterior nasal tapenade associated with posterior Foley catheter is one of the most widespread, and the universal availability of necessary materials or their apparent ease of execution. Methods:  Case report on control of severe epistaxis after severe TBI, with posterior nasal packing by Foley catheter and control tomography showing multiple fractures of the skull base and penetration of the probe into the brain parenchyma. Conclusion:  This is a rare but possible complication in the treatment of severe nose bleeds associated with fracture of the skull base. This brief report highlights risks related to the method and suggests some care to prevent complications related through a brief literature review.
ISSN:1809-9777
1809-4864
DOI:10.7162/S1809-97772012000400016