We describe the case of a 32-year-old female patient with an extensive hemifacial hemangioma; she presented with recurrent epistaxis that caused hemodynamic consequences. Both the plastic surgery and head and neck surgery departments evaluated her, and neither indicated surgical treatment for her. She received hemostatic radiotherapy and 5 embolization sessions, but it was not possible to continue the procedure, as there were no more feasible arteries to embolize. As there were no more alternatives, the otolaryngology group at HCFMUSP indicated closure of the left nasal cavity as an attempt to stop the epistaxis. The patient was followed for 4 months, with only 1 episode of epistaxis after dehiscence. This technique was devised originally by Young for the treatment of atrophic rhinitis and is used for severe cases of hereditary hemorrhagic telangiectasia. No reports described the use of this technique for extensive hemangiomas of the face. It was an attempt at a palliative intervention to improve the patient's quality of life that so far has proved effective.
