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A Case of Periodontal Necrosis following Embolization of Maxillary Artery for Epistaxis
Embolization of the maxillary artery (MA) is a common treatment modality for refractory epistaxis. Tissue necrosis after embolization of the MA is a rare complication. Here, we reported the first case of the development of necrosis of soft tissue and alveolar bone in the periodontium after embolizat...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5136633/ https://www.ncbi.nlm.nih.gov/pubmed/27990309 http://dx.doi.org/10.1155/2016/6467974 |
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author | Nishimoto, Kohei Minoda, Ryosei Yoshida, Ryoji Hirai, Toshinori Yumoto, Eiji |
author_facet | Nishimoto, Kohei Minoda, Ryosei Yoshida, Ryoji Hirai, Toshinori Yumoto, Eiji |
author_sort | Nishimoto, Kohei |
collection | PubMed |
description | Embolization of the maxillary artery (MA) is a common treatment modality for refractory epistaxis. Tissue necrosis after embolization of the MA is a rare complication. Here, we reported the first case of the development of necrosis of soft tissue and alveolar bone in the periodontium after embolization. A 48-year-old man with poor oral hygiene and a heavy smoking habit was referred to our clinic due to intractable epistaxis. After treatment with anterior-posterior nasal packing (AP nasal packing), the epistaxis relapsed. Therefore, he underwent embolization of the MA. Although he did not experience epistaxis after embolization, periodontal necrosis developed gradually. The wound healed with necrotomy, administration of antibiotics and prostaglandin, and hyperbaric oxygen therapy. We speculated that the periodontal necrosis was provoked by reduction of blood supply due to embolization and AP nasal packing based on this preexisting morbid state in the periodontium. Poor condition of the oral cavity and smoking may increase the risk of periodontal necrosis after embolization. |
format | Online Article Text |
id | pubmed-5136633 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-51366332016-12-18 A Case of Periodontal Necrosis following Embolization of Maxillary Artery for Epistaxis Nishimoto, Kohei Minoda, Ryosei Yoshida, Ryoji Hirai, Toshinori Yumoto, Eiji Case Rep Otolaryngol Case Report Embolization of the maxillary artery (MA) is a common treatment modality for refractory epistaxis. Tissue necrosis after embolization of the MA is a rare complication. Here, we reported the first case of the development of necrosis of soft tissue and alveolar bone in the periodontium after embolization. A 48-year-old man with poor oral hygiene and a heavy smoking habit was referred to our clinic due to intractable epistaxis. After treatment with anterior-posterior nasal packing (AP nasal packing), the epistaxis relapsed. Therefore, he underwent embolization of the MA. Although he did not experience epistaxis after embolization, periodontal necrosis developed gradually. The wound healed with necrotomy, administration of antibiotics and prostaglandin, and hyperbaric oxygen therapy. We speculated that the periodontal necrosis was provoked by reduction of blood supply due to embolization and AP nasal packing based on this preexisting morbid state in the periodontium. Poor condition of the oral cavity and smoking may increase the risk of periodontal necrosis after embolization. Hindawi Publishing Corporation 2016 2016-11-21 /pmc/articles/PMC5136633/ /pubmed/27990309 http://dx.doi.org/10.1155/2016/6467974 Text en Copyright © 2016 Kohei Nishimoto et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Nishimoto, Kohei Minoda, Ryosei Yoshida, Ryoji Hirai, Toshinori Yumoto, Eiji A Case of Periodontal Necrosis following Embolization of Maxillary Artery for Epistaxis |
title | A Case of Periodontal Necrosis following Embolization of Maxillary Artery for Epistaxis |
title_full | A Case of Periodontal Necrosis following Embolization of Maxillary Artery for Epistaxis |
title_fullStr | A Case of Periodontal Necrosis following Embolization of Maxillary Artery for Epistaxis |
title_full_unstemmed | A Case of Periodontal Necrosis following Embolization of Maxillary Artery for Epistaxis |
title_short | A Case of Periodontal Necrosis following Embolization of Maxillary Artery for Epistaxis |
title_sort | case of periodontal necrosis following embolization of maxillary artery for epistaxis |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5136633/ https://www.ncbi.nlm.nih.gov/pubmed/27990309 http://dx.doi.org/10.1155/2016/6467974 |
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