Endoscopic ligature of the sphenopalatine artery for severe posterior epistaxis

Objective: To present our experience with endoscopic ligature of the sphenopalatine artery in the treatment of severe posterior epistaxis of patients who had previously undergone conservative procedures. Methods: Eleven patients with severe posterior epistaxis were treated during a 25-month period w...

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Bibliographic Details
Published in:Otolaryngology-head and neck surgery 2001-04, Vol.124 (4), p.464-467
Main Authors: Voegels, Richard Louis, Thomé, Daniela Curti, Iturralde, Patsy Priscilla Vasquez, Butugan, Ossamu
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Arteries - surgery
Endoscopy - methods
Epistaxis - diagnosis
Epistaxis - surgery
Female
Humans
Ligation
Male
Microsurgery - methods
Middle Aged
Palatine Tonsil - blood supply
Palatine Tonsil - surgery
Severity of Illness Index
Sphenoid Sinus - blood supply
Sphenoid Sinus - surgery
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Summary:Objective: To present our experience with endoscopic ligature of the sphenopalatine artery in the treatment of severe posterior epistaxis of patients who had previously undergone conservative procedures. Methods: Eleven patients with severe posterior epistaxis were treated during a 25-month period with an endoscopic ligature of the sphenopalatine artery. The basic principle of the surgical technique is to identify the branches of the sphenopalatine artery through an endoscopic endonasal approach and to apply a titanium clip under direct vision. Results: The endoscopic ligature of the sphenopalatine artery was performed unilaterally in 10 patients and bilaterally in 1 patient, with a total of 12 ligatures. It was possible to identify the sphenopalatine artery in all cases with a successful outcome using this surgical technique alone. Conclusion: Endonasal endoscopic ligature of the sphenopalatine artery has been an effective surgical technique for treating severe posterior epistaxis. (Otolaryngol Head Neck Surg 2001;124:464-7.)
ISSN:0194-5998
1097-6817
DOI:10.1067/mhn.2001.113512