Transoral cauterization of the internal maxillary artery in the infratemporal fossa. Case report
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Abstract
The clinical case of an 84-year-old patient who had recurrent epistaxis due to Rendu-Osler- Weber disease is described.
She had a history of various surgical treatments including closure of the left nostril (Young's operation).
Due to the persistence of left epistaxis, angiography and embolization were indicated. The latter was not done because anastomosis between the external and internal carotid system was diagnosed.
An intraoral paramaxillary approach assisted with endoscopes was performed to cauterize the internal maxillary artery in the infratemporal fossa and an external approach to cauterize the anterior ethmoidal artery solving the epistaxis.
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