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Figures

Fig. 1

A, Angiography shows left maxillary artery (large arrow) and active contrast blush (small arrow). B, No more contrast blush after coil embolization (small arrow). C, Right distal internal maxillary artery (large arrow) active contrast blush and traumatic pseudoaneurysm formation (small arrow). D, Right distal internal maxillary artery pseudoaneurysm was occluded after coil embolization (small arrow).

Life-threatening maxillofacial trauma hemorrhage is not common; oronasal hemorrhage from maxillofacial trauma can often be managed with manual compression or efficient tight packing. Surgery is reserved for cases where failure of tight packing occurs. However, the use of angioembolization might decrease the need for blood transfusion and provide an effective alternative for early hemostasis after packing failure. We report 7 cases wherein angioembolization was successfully performed for hemostasis of life-threatening maxillofacial trauma hemorrhage.

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