J Korean Assoc Maxillofac Plast Reconstr Surg.  2010 Mar;32(2):189-195.

EMERGENCY BLEEDING CONTROL BY RAPID ENTIRE OROPHARYNGEAL PACKING IN A PATIENT WITH ACTIVE OROPHARYNGEAL BLEEDING FOLLOWING BASAL SKULL FRACTURE : REPORT OF A CASE

• Mo DY
• Yoo JH
• Choi BH
• Kim HR
• Lee CU
• Ryu MH

Abstract

Excessive oral and maxillofacial bleeding causes upper airway obstruction, bronchotracheal & gastric aspiration and hypovolemic shock. Therefore, the rapid & correct bleeding control is very important for life-saving in the medical emergency room. In spite of the bleeding control methods of the wound suture & direct pressure, the postoperative bleeding can be occurred, because of the presence of various bleeding disorders & postoperative delayed wound infections. The proper care of bleeding disorders & wound infections are very important for the control of the delayed postoperative rebleeding. In spite of these methods, active oral bleeding can be presented by the other causes of head injury. A rare but particularly dangerous sort of bleeding that may have an especial importance to the patient with severe basal skull fracture that damage large vessels and even the cavernous sinus. The occurrence of profuse nasal or oropharyngeal bleeding may arise from damage to the anterior and posterior ethmoidal vessels, but when mixed with brain tissue it is evidence of mortal damage. In this condition, rapid entire oropharyngeal packing is essential for the control of active oral bleeding. This is a case report of rapid rational bleeding control method by much amount of wet gauze packings, in a 44-years-old male patient with active oropharyngeal bleeding by basal skull fractures.

Keyword

Active oral bleeding; Oropharyngeal bleeding; Basal skull fracture; Rapid entire oropharyngeal gauze packing

MeSH Terms

Airway Obstruction
Brain
Cavernous Sinus
Craniocerebral Trauma
Emergencies
Hemorrhage
Humans
Male
Shock
Skull
Skull Fractures
Sutures
Wound Infection