Severe complication of posterior nasal packing: Case Report

Abstract

Summary Introduction: Severe Epistaxis is common in patients with head trauma, especially when associated with multiple fractures of the face and skull base. Several methods of controlling bleeding that can be imposed. The anterior nasal tapenade associated with posterior Foley catheter is one of the most widespread, and the universal availability of necessary materials or their apparent ease of execution. Methods: Case report on control of severe epistaxis after severe TBI, with posterior nasal packing by Foley catheter and control tomography showing multiple fractures of the skull base and penetration of the probe into the brain parenchyma. Conclusion: This is a rare but possible complication in the treatment of severe nose bleeds associated with fracture of the skull base. This brief report highlights risks related to the method and suggests some care to prevent complications related through a brief literature review.

Posterior epistaxis management: review of the literature and proposed guidelines of the hellenic rhinological-facial plastic surgery society

“…Its availability, simplicity, and low cost make it easy to be found and used in most healthcare facilities. Despite its advantages, it should be mentioned that its failure rate is 25–60%, and it can be rather uncomfortable and painful to patients, obstruct breathing and cause local and systemic complications, which may occur in up to 68% of cases (Table 2 ) [ 1 , 3 , 4 , 9 , 21 , 31 , 34 , 36 , 37 , 39 ]. The recommended time for the removal of the posterior packing varies in the literature, with suggested durations ranging from 24 h to 3 or 5 days.…”

Rapid Rhino versus brain: a case report in traumatic epistaxis

“…Five previous instances of intracranial misplacement of Foley catheters for epistaxis in craniofacial trauma have been reported by Veeravagu et al We identified a further seven cases (three Foley catheters, three Epistats and one Bivona nasal balloon). In these cases, the majority of patients succumbed to their injuries or suffered severe neurological deficits.…”

Percepção De Gestantes Sobre a Toxoplasmose

“…Antibióticos com tamponamento nasal podem ser administrados por via oral (por exemplo, amoxicilina e cefalexina) para prevenir síndrome do choque. Quando em contexto de trauma panfacial, o tamponamento nasal posterior deve ser evitado, pois embora seja uma complicação rara, há relatos de migração intracraniana do cateter utilizado no tamponamento (PINTO et al, 2013).…”