Successful Hemostasis of Intractable Nasal Bleeding with a Sengstaken‐Blakemore Tube

Morita, Seiji; Shibata, Masayoshi; Nakagawa, Yoshihide; Yamamoto, Ikuo; Inokuchi, Sadaki

doi:10.1016/j.otohns.2005.03.038

Cited by 4 publications

(11 citation statements)

References 6 publications

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“…Ho 22 reported two adverse events associated with nasal packing, including a palatal fistula and bony loss. Morita 24 reported no morbidity associated with their use of the Sengstaken-Blakemore tube. Failure of procedure was defined as a failure to control haemorrhage with embolization or the requirement for escalation of management interventions in the non-TAE arm (appendix S5); 9.88% of embolization attempts failed to stop bleeding, compared with 24.74% of non-TAE interventions, with Chen 21 attributing this failure of embolization to 'small calibre haemorrhaging arteries and severe vasospasm'.…”

Section: Resultsmentioning

confidence: 94%

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Systematic review and meta‐analysis of arterial embolization compared with traditional management on outcomes of traumatic massive facial haemorrhage

Stallwood-Hall

Anderson

Ebeid

2022

ANZ Journal of Surgery

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Background: Maxillofacial trauma accounts for ~10% of trauma presentations to most centres, with massive haemorrhage occurring in 1.2-4.5% of cases. Despite its infrequent presentation, there is significant associated morbidity and mortality. Transcatheter arterial embolization (TAE) is playing an increasingly prominent role in trauma presentations. The aim of this article was to compare outcomes of TAE with more traditional management methods for the treatment of massive facial haemorrhage following maxillofacial trauma. Methods: A database and Google Scholar search was performed, with articles discussing massive facial haemorrhage secondary to maxillofacial trauma and its management included. Results: Twenty-seven articles were found that met inclusion criteria, encompassing 384 patients. Statistical testing comparing mortality between TAE and non-TAE groups did not find a significant difference, with a mortality rate of 30.2% in the TAE group and 38.9% in the non-TAE group. Assessment of morbidity directly related to interventions was difficult, as many of the included participants had significant associated injuries which contributed an indeterminate degree to morbidity. There was a 10% rate of adverse events associated with TAE, most commonly puncture site haematomas and soft tissue swelling, with more significant adverse events including cerebrovascular accidents and blindness. Conclusion: Embolization was correlated with increased rates of haemorrhage control when compared with other interventions. Overall, despite no significant impact on mortality, embolization is recommended in the management of massive haemorrhage following maxillofacial trauma due to improved success rates at haemorrhage control and a low rate of significant adverse events.

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Section: Resultsmentioning

confidence: 94%

Section: Resultsmentioning

confidence: 96%

Systematic review and meta‐analysis of arterial embolization compared with traditional management on outcomes of traumatic massive facial haemorrhage

Stallwood-Hall

Anderson

Ebeid

2022

ANZ Journal of Surgery

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“…Additionally, in our study, the gastric balloon of the SBT was inflated in the oral cavity, and the esophageal balloon was inflated in the nasal cavity for compression of the bleeding site. Previously, Morita et al 6 used a similar method to ours. They inflated the esophageal balloon as a tamponade in the nasal cavity and the gastric balloon in the oropharynx.…”

Section: Discussionmentioning

confidence: 94%

“…The question might arise whether the inflated esophageal balloon can fill the nasal cavity entirely and press against the bleeding points. Morita et al 6 demonstrated that the balloon compressed the entire nasal cavity perfectly based on the model that they created to prove SBTs' usefulness for uncontrolled nasal bleeding, especially when there is a lack of knowledge about the exact bleeding location. Third, the intervention center for embolization requires expensive equipment, infrastructure, and an experienced team.…”

Section: Discussionmentioning

confidence: 99%

“…The esophageal and gastric balloons of the SBT play a role for tamponade, stabilizing the oronasal space. Morita et al 6 reported the successful control of sustained and intractable nasal bleeding using an SBT for tamponade in a patient with maxillofacial injury. Therefore, we investigated the experience of SBT balloon tamponade in patients with sustained and intractable oronasal bleeding secondary to facial injury.…”

Section: Introductionmentioning

confidence: 99%

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Management of intractable oronasal bleeding using Sengstaken-Blakemore tubes in patients with facial trauma: a case series and technical notes

et al. 2021

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Objective Intractable massive oronasal bleeding can become a life-threatening condition. The success rate of conventional bleeding control methods other than transarterial embolization (TAE) is not expected to be high. We investigated the efficacy of Sengstaken-Blakemore tube (SBT) balloon tamponade in patients with sustained and intractable oronasal bleeding secondary to facial injury. MethodsThis study is a retrospective chart review from traumatic patients with sustained and intractable oronasal bleeding who were admitted to the emergency center of Ajou University Hospital and Soonchunhyang University Bucheon Hospital from January 2014 to December 2016. ResultsTwelve patients were included in the study, of whom nine (75%) were male. The median age was 31 years (range, 20-73 years). Bleeding was controlled in 11 of the 12 patients (91.7%) either temporarily or definitively. One patient without hemostasis underwent TAE. TAE was performed in an additional three patients out of the 11 patients with hemostasis who experienced continued nasal bleeding after the removal of SBTs. There were no complications from performing the procedure. ConclusionUsing SBTs as a hemostatic tool will aid patients with life-threatening intractable oronasal bleeding. Furthermore, this method may be used in patients with continual and intractable oronasal bleeding after facial trauma as a bridging procedure from the emergency department or the intensive care unit to the interventional radiology.

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Ectopic Placement of Sengstaken-Blakemore Device to Correct Outflow Obstruction in Liver Transplantation: Case Reports

Steinbrück

Fernandes

Enne

et al. 2010

Transplantation Proceedings

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Successful Hemostasis of Intractable Nasal Bleeding with a Sengstaken‐Blakemore Tube

Cited by 4 publications

References 6 publications

Systematic review and meta‐analysis of arterial embolization compared with traditional management on outcomes of traumatic massive facial haemorrhage

Systematic review and meta‐analysis of arterial embolization compared with traditional management on outcomes of traumatic massive facial haemorrhage

Management of intractable oronasal bleeding using Sengstaken-Blakemore tubes in patients with facial trauma: a case series and technical notes

Ectopic Placement of Sengstaken-Blakemore Device to Correct Outflow Obstruction in Liver Transplantation: Case Reports

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