선택적인 접형구개동맥 색전술을 이용한 후비출혈환자 6례

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)