Ischemic necrosis of nose and palate after embolization for epistaxis. A case report.

Oral and Maxillofacial Surgery
Aris NtomouchtsisNicolas Lazaridis

Abstract

This paper reports the case of a 50-year-old man who underwent superselective embolization after severe posterior rhinorrhagia caused by hypertension. Twelve hours after the procedure, left-sided hemiparesis and right-sided facial nerve paresis developed, followed by ulceration and necrosis of the soft palate, diaphragm, and right nasal ala. Reconstruction was implemented with porous polyethylene for the nasal pyramid, a forehead flap and a mucosal flap from the oral vestibulum for polyethylene coverage, and a rotational palatal flap for closure of the oroantral fistula. Exposure of the material occurred after 4 weeks, and removal was followed by satisfactory maintenance of the shape and function of the nose. Postembolization necrosis is a rare complication of the area, and there are very few similar reports in the literature.

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Citations

Sep 12, 2012·The Laryngoscope·Mehmet YilmazAbdulkadir Eren
May 17, 2017·Surgical and Radiologic Anatomy : SRA·Guillaume de BonnecazeE Serrano
Aug 21, 2013·Surgical Neurology International·Ramesh GrandhiMichael Horowitz
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Mar 14, 2014·The Journal of Craniofacial Surgery·Hyuck Jae LeeKap Sung Oh
Jun 20, 2020·Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India·Vivek Sasindran, Mithra Sara John
Dec 19, 2016·Case Reports in Otolaryngology·Kohei NishimotoEiji Yumoto
Sep 10, 2019·International orthodontics·Joël FerriRomain Nicot

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