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A Life Saving Emergent Temporary External Carotid Artery Controlled in Extensive Craniofacial Injury

Authors Tanmit P, Angkasith P, Teeratakulpisarn P, Thanapaisal C, Surakunprapha P, Kitkuandee A, Limwattananon P

Received 13 January 2021

Accepted for publication 6 March 2021

Published 30 March 2021 Volume 2021:14 Pages 199—204


Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Professor Ronald Prineas

Parichat Tanmit, Phati Angkasith, Panu Teeratakulpisarn, Chaiyut Thanapaisal, Palakorn Surakunprapha, Amnat Kitkuandee, Phumtham Limwattananon

Department of Surgery, Faculty of Medicine, Khonkaen University, Khon Kaen, Thailand

Correspondence: Parichat Tanmit
Department of Surgery, Khonkaen University, 123 Moo16 Mittraphap Road, Nai-Muang, Muang District, Khon Kaen, 40002, Thailand
Tel +66850001714
Email [email protected]

Introduction: Craniofacial trauma may potentially have significant blood loss which may lead to death in some trauma patients.
Case Report: We report a case of a 43-year-old male who had a lethal noncompressible arterial hemorrhage from a penetrating wound on his left frontotemporal and preauricular region. Extensive bleeding was successfully temporarily controlled by external carotid artery (ECA) occlusion. The definitive operation was completed in a staged fashion following a computed tomography angiography assessment extension of the injury.
Conclusion: Temporarily controlling the bleeding from the carotid artery should be considered as a life saving procedure in a lethal craniofacial injury.

Keywords: craniofacial injury, external carotid artery ligation, temporary external carotid artery control, maxillary artery bleeding

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