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