The transient left external carotid artery occlusion. (A) External carotid artery; (B) internal carotid artery; (C) common carotid artery.

The transient left external carotid artery occlusion. (A) External carotid artery; (B) internal carotid artery; (C) common carotid artery.

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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 tempor...

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... Another case of a nasal mass that was profusely bleeding on the surgical table and had to be controlled with clamping followed by tumor excision reported as Synovial sarcoma. Studies by Tanmit et al. [11] and Nasr [12] emphasized the importance of ECA control in cases of severe and extensive Craniofacial and Maxillofacial Trauma that presented with massive hemorrhage. ...
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Effective management of Tumors of Nose and Paranasal Sinuses (PNS) require adequate vascular control of the vessels supplying the tumor to facilitate complete removal and to reduce the complications. To emphasize the role of prior control of feeding vessels in reducing intraoperative blood loss, achieving bloodless fields for endoscopic excision and in facilitating complete excision of tumors of Nose and PNS. A prospective study of 23 patients who were operated for various tumors of Nose and PNS by either Endoscopic or Open approaches for which intraoperative control of the feeding vessels was done based on the Radiological findings. The mean average blood loss was 280 ml and mean Operating time for Endoscopic approach was less than 2 h. All the patients were stable postoperatively and none of the patients had worrisome intraoperative hemorrhage or required multiple blood transfusions. All the patients had complete removal of the tumor. Prior identification of all the vessels that supply the tumor and planning to control them before manipulating the tumor always gives us good results. Tumors supplied by single vessel can be controlled by Embolization or intraoperative clamping, when the tumor is supplied by multiple vessels or when it is not possible to access the vessel by the size of the tumor, Temporary Clamping of the main vessel is a definitive alternative.