Techniques for Achieving Hemostasis from Choanoid Cranial Foramina.

OBJECTIVE: This report describes 2 techniques for controlling otherwise difficult-to-control hemorrhage from choanoid bony foramina. METHODS: Medical records of 3 patients in whom vigorous and difficult-to-control bleeding from choanoid cranial foramina was successfully halted are reviewed. RESULTS: In 2 patients, vigorous arterial bleeding from the foramen spinosum was controlled with a wooden peg. In 1 patient, vigorous venous bleeding from a foramen in the convexity of the occipital bone was controlled with a wedge of bone. CONCLUSIONS: Vigorous bleeding, whether arterial or venous, from choanoid foramina can be quickly and reliably controlled by the techniques described.