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선택적인 접형구개동맥 색전술을 이용한 후비출혈환자 6례

김동욱1,*, 유명상1, 이병돈1, 장혁순1
Dong Wook Kim1,*, Myung Sang Yu1, Byung Don Lee1, Hyuck Soon Chang1
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1순천향대학교 의과대학 부속병원 이비인후과학교실
1Department of Otolaryngology, Soonchunhyang University College of Medicine, Seoul, Korea
*교신저자: 김동욱, 140-743 서울 용산구 한남동 657 순천향대학교 의과대학 부속병원 이비인후과학교실 전화: (02) 709-9361·전송: (02) 794-9628 E-mail: kdw1228@hosp.sch.ac.kr

© Copyright 2002 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Received: Aug 07, 2002; Accepted: Oct 07, 2002

Published Online: May 31, 2020

ABSTRACT

Background: Epistaxis is a common problem in ENT field. There are many options for treatment of epistaxis. Usually it could be controlled by conservative treatment. But severe intractable epistaxis is usually in the posterior or superior portion of the nasal cavity and is not readily controlled by either direct pressure, cauterization with topical agent, or nasal packing include using Balloon catheter. Posterior packing can be made patients discomfort and long duration of hospitalization. Embolization is very effective therapy and can decrease hospitalization and discomfort which patient and family can be felt. Material: We reviewed 6 cases of patients who received sphenopalatine artery embolization from Mar. 1997 to Feb. 2002. Results: Patients who received embolization had felt more comfotable. Only 2 patients had a minor complication, headache and facial pain, but it was not longer than 1 week. Conclusion: Selective sphenopalatine artery embolization is a safe and effective option that should be considered in the treatment of posterior nasal bleeding than other options. (J Clinical Otolaryngol 2002;13:225-228)

Keywords: 비출혈; 접형동맥; 색전술
Keywords: Epistaxis; Maxillary artery; Embolization, therapeutic