Background: Rosch et al.1 pioneered the use of therapeutic embolisation in the management of acute gastrointestinal bleeding in 1972, and it has since become standard practise. treatment of numerous clinical diseases. Kingsley and O'Connor published a review on embolisation in otolaryngology in 1982, highlighting its application in the treatment of acute bleeding, vascular tumours, and angiomatous deformities. Objectives: The purpose of this article is to offer an update on the expanding use of embolisation in the practise of otolaryngology. Methods & Materials: In November 2008, a literature search was carried out. The databases Medline, Embase, PubMed, and Cochrane were searched. This yielded 285 relevant publications for review. Conclusion: The use of embolisation has significantly increased to cover the treatment of refractory epistaxis, the pre-operative preparation of vascular tumours, vascular traumas, and as an adjuvant in skull base surgery.