Author(s): Fukushima T, Maroon JC
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Abstract BACKGROUND: Hemorrhage from carotid artery injury during transsphenoidal surgery is an unusual, but potentially fatal complication. METHODS: Among six patients experiencing laceration or perforation of the carotid artery, we treated four with a new technique using Teflon mesh and methyl methacrylate to form an external, artificial wall over the laceration and the carotid artery. RESULTS: In all four cases, hemorrhage was successfully controlled without neurologic deficit to the patient or complications frequently associated with the standard technique of nasal and sphenoid sinus packing removal. CONCLUSIONS: Our new technique may be superior to packing alone, as well as potentially life-saving to the patient.
This article was published in Surg Neurol
and referenced in Otolaryngology: Open Access