Management of intractable epistaxis in patients who received radiation therapy for nasopharyngeal carcinoma

• DOI: 10.1007/s00405-013-2598-6
• Publication Date: 2013-07-11T06:13:33Z
• Authors: Cheng-Cheng He; Yong-feng Si; Yu-an Xie; Lei Yu
• Keywords: External carotid artery

To report clinical manifestations, bleeding point localization, and outcomes of management in 16 patients with instances intractable epistaxis after radiation therapy for nasopharyngeal carcinoma. Retrospective chart review carcinoma (mean age 52.06 ± 14.37 years) during the past 5 years, whose diagnosis was confirmed by angiography (n = 10) or MRI/CT imaging studies manifestations 6). The mean dose to affected carotid artery 101.37 34.85 Gy. Bleeding points were detected internal 8) external 8). Detachable balloons used one vascular occlusion; six treated using an absorbable gelatin sponge 4) microcoils (diameter 1 mm) 2). Endovascular embolization successful seven blowout syndromes cessation hemorrhage. One patient underwent ligation recovered without treatment. follow-up 3 months. Therapeutic endovascular is both efficient safe. It should be considered as primary treatment modality