Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-24T10:31:24.326Z Has data issue: false hasContentIssue false

Claudication on mastication following bilateral external carotid artery ligation for posterior epistaxis

Published online by Cambridge University Press:  29 June 2007

M. Motamed*
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Royal Free Hospital, London, UK.
R. Farrell
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Royal Free Hospital, London, UK.
J. Philpott
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Royal Free Hospital, London, UK.
P. Rea
Affiliation:
Department of Otolaryngology and Head and Neck Surgery, Royal Free Hospital, London, UK.
*
Address for correspondence: Mr M. Motamed, Rustic Place, Middlesex HAO 3BJ.

Abstract

This case highlights a potentially disabling complication of intermittent claudication inthe region of the masseter muscles on mastication, following bilateral external carotid artery ligation for epistaxis. Although there have been few reports of this complication this may be a reflection of the fact that the operation is rarely performed, and not because the complication is rare. Its potentially disabling nature, and its possible common occurrence after this procedure make awareness of it by surgeons who may carry out this procedure important.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1998

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Achkar, A., Lie, J., Gabriel, S., Hunder, G. (1995) Giant cell arteritis involving the facial artery. Journal of Rheumatology 22(2): 360362.Google ScholarPubMed
Cooke, E. T. (1985) An evaluation and clinical study of severe epistaxis treated by arterial ligation. Journal of Laryngology and Otology 99(8): 745749.CrossRefGoogle ScholarPubMed
Gabella, G. (1995) Cardiovascular. In Gray's Anatomy. 38th Edition (Williams, L., Bannister, L., Berry, M., Collins, P., Dyson, M, Dussek, J., Fergusson, M. eds.) Churchill Livingstone, New York, pp 15151521.Google Scholar
Lewis, R., Beasley, M., Maclean, K. (1978) Occlusion of external carotid artery causing intermittent claudication of the masseter. British Medical Journal 2: 1611.CrossRefGoogle ScholarPubMed
Liston, S., Siegel, L. (1990) Claudication on mastication following bilateral external carotid ligation. Head and Neck 12(3): 269271.CrossRefGoogle ScholarPubMed
Rosenberg, I., Austin, J., Wright, P., King, R. (1982) The effect of experimental ligation of the external carotid artery and its major branches on haemorrhage from the maxillary artery. International Journal of Oral Surgery 11(4): 251259.CrossRefGoogle ScholarPubMed
Shaheen, O. H. (1975) Arterial epistaxis. Journal of Laryngology and Otology 89(1): 1734.CrossRefGoogle ScholarPubMed
Waldron, J., Stafford, N. (1992) Ligation of the external carotid artery for severe epistaxis. Journal of Otolaryngology 21(4): 249251.Google ScholarPubMed