Cullen MM; Tami TA
OBJECTIVE: This abstraction advised the advantages and disadvantages of centralized maxillary avenue (IMA) articulation against embolization for the analysis of adverse after epistaxis.
METHODS: Thirty-nine patients underwent 42 procedures for analysis of after epistaxis at the University of Cincinnati Medical Center amid 1986 and 1994. Aggravation rates, abortion rates, demographics, and the costs of IMA articulation and embolization were compared. A analysis of 20 studies appear amid 1973 and 1995 was done to actuate the aggravation and abortion ante of IMA articulation and embolization. Finally, a mail analysis was acclimated to actuate the availability and use of IMA articulation and embolization by burghal and rural otolaryngologists in Ohio.
RESULTS: Aggravation and abortion ante of IMA articulation and embolization were agnate at our institution. In the abstract review, IMA articulation had a college aggravation rate, but beneath failures. Although the above aggravation ante were not decidedly different, those associated with embolization were generally added austere than those associated with IMA ligation. At our institution, the amount of IMA embolization was decidedly lower than the amount of IMA ligation. Only 11% of Ohio otolaryngologists in nonurban areas accept embolization accessible to amusement after epistaxis.
CONCLUSION: IMA articulation is added able than IMA embolization but may be associated with a college accessory aggravation rate. The above complications that action with IMA embolization are generally added serious. Although IMA embolization was beneath big-ticket at our institution, it is bare in best nonurban regions in Ohio. Training in the use of IMA articulation for adverse after epistaxis should abide in otolaryngology address training programs admitting the accretion availability of embolization at university training centers.
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.
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