• World Neurosurg · Apr 2017

    Case Reports

    Techniques for Achieving Hemostasis from Choanoid Cranial Foramina.

    • Zach Folzenlogen and Ken R Winston.
    • Department of Neurosurgery, University of Colorado School of Medicine, Denver Health, Denver, Colorado, USA; The Children's Hospital Colorado, Aurora, Colorado, USA. Electronic address: zach.folzenlogen@ucdenver.edu.
    • World Neurosurg. 2017 Apr 1; 100: 710.e7-710.e9.

    ObjectiveThis report describes 2 techniques for controlling otherwise difficult-to-control hemorrhage from choanoid bony foramina.MethodsMedical records of 3 patients in whom vigorous and difficult-to-control bleeding from choanoid cranial foramina was successfully halted are reviewed.ResultsIn 2 patients, vigorous arterial bleeding from the foramen spinosum was controlled with a wooden peg. In 1 patient, vigorous venous bleeding from a foramen in the convexity of the occipital bone was controlled with a wedge of bone.ConclusionsVigorous bleeding, whether arterial or venous, from choanoid foramina can be quickly and reliably controlled by the techniques described.Copyright © 2017 Elsevier Inc. All rights reserved.

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