[Treatment of epistaxis of carotid origin by rhino-sinusal route].

Epistaxis of carotid origin usually calls for adventurous and complicated techniques such as trapping, embolization or releasable balloons. But there is an O.-R.-L. technique which is no less effective: the direct rhino-sinusal approach to the sphenoidal sinus followed by tenting or occlusion through the fascia lata. This tamponage, when applied very close to the source of the bleeding, has proved very effective and only cuts off the carotid axis progressively and is generally well-tolerated. To set against theoretically possible risks of extensive thrombosis are the indisputable practical advantages. In particular, any O.-R.-L. practitioner well versed in surgery of the sinuses can follow this procedure. Several cases are described.