HEMORRHAGE FROM THE INTERNAL CAROTID ARTERY DURING ENDONASAL SINUSECTOMY

Abstract

There is a recent tendency that pathology of chronic sinusitis is more complicated because of the frequent and concomitant involvements of the nose and sinuses by allergic diseases. Passive attitude of rhinologists toward surgical treatments may have contributed to the increased number of cases with advanced sinus diseases. We have encountered a severe bleeding from the internal carotid artery during intranasal sinusectomy in a case with advanced sinus diseases with bone involvements. This was due to been a rupture of the internal carotid artery.
The authors describe the cause of the bleeding and topographical anatomy of the posterior sinus group in relation to the internal carotid artery.