Repeated massive epistaxis after re-irradiation in recurrent nasopharyngeal carcinoma

Abstract

1. Past studies show that massive epistaxis after re-irradiation in recurrent NPC is one of the most challenging situations that clinicians face. 2. Early prediction and prompt treatment are the key steps to reduce the risk of death during massive epistaxis. 3. We reported a case of successful treatment of recurrent attacks of massive epistaxis after radiotherapy in recurrent NPC using endovascular methods. 4. The results show that embolization with an endovascular coil achieved excellent hemostasis. 5. We posit that minimal hemorrhage in high-risk patients may be a warning sign of massive epistaxis, and thus emergency measures should be prepared immediately, with endovascular methods as the primary means of treatment.