TY - JOUR AB - In This Issue JAMA Otolaryngology– September 2014 Volume 140, Number 9 Head & Neck Surgery Pages 789-892 Research Clinical Review & Education Clinical Problem Solving Intractable Epistaxis 801 PATHOLOGY As interventional radiology has become more sophisticated, so too have the choices for treatment of severe posterior epistaxis. Treatment with a posterior nasal pack and mul- tiple days of hospitalization are a thing of the past. But not infrequently, patients are re- ferred to tertiary centers with a specific request from the referring physician for treatment via arterial embolization of the sphenopalatine artery. In this era of cost-effective health care, Rudmik and Leung chose to perform a cost analysis for the treatment of severe pos- terior epistaxis by using both techniques. The outcome was the control of the bleeding, and the evaluation was to determine incremental cost. Embolization was effective but was about $8000 more than endoscopic ligation; both were equally effective. While patient and institutional factors need to be considered when choosing treatment options, the sig- 875 What is your diagnosis? nificantly lower cost of endoscopic ligation should be added to the decision-making tree. RADIOLOGY Demographics of Laryngotracheal Trauma in Children 829 Laryngotracheal trauma is known to be associated TI - Highlights JF - JAMA Otolaryngology - Head & Neck Surgery DO - 10.1001/jamaoto.2013.4310 DA - 2014-09-01 UR - https://www.deepdyve.com/lp/american-medical-association/highlights-90e1RJTA9b SP - 791 EP - 791 VL - 140 IS - 9 DP - DeepDyve