Vol.102 No.9 contentsPRACTICA OTO-RHINO-LARYNGOLOGICA
Vol. 102 No. 9 September 2009
Two Cases of Bleeding Aneurysm of Epiglottic Vallecula
Ryoji Kagoya, Hiroko Monobe and Hitoshi Tojima
(Hitachi Sogo Hospital)
We experienced two cases of bleeding from a small aneurysm developed in an epiglottic vallecula. In the first case, bleeding was controlled by lingual artery embolization. In the second, the aneurysm was cauterized under general anesthesia in addition to embolization. In the head and neck region, aneurysms in the carotid artery, superficial temporal artery, thyroid artery and lingual artery have been reported in the past. Venous aneurysm has developed in the internal jugular vein, external jugular vein and retromandibular vein. There have been a few cases in which bleeding from a small aneurysm was critical in the oropharyngeal region. We consider that embolization and cauterization without delay are important in cases presenting with active bleeding from a small aneurysm.
Key words :aneurysm, epiglottic vallecula, embolization, cauterization