Endoscopic Ligation of the Sphenopalatine Artery as a Primary Management of Severe Posterior Epistaxis in Patients with Coagulopathy

Shah, Anand G.; Stachler, Robert J.; Krouse, John H.

doi:10.1177/014556130508400514

Cited by 12 publications

(10 citation statements)

References 13 publications

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“…The sphenopalatine artery is the terminal branch of the internal maxillary artery and the dominant source of posterior nasal blood supply. Endoscopic ligation of the sphenopalatine artery causes interruption of the nasal vasculature at a point distal enough to prevent direct, retrograde and anastomotic blood flow from ipsilateral and contralateral carotid systems 7 …”

Section: Introductionmentioning

confidence: 99%

Endoscopic control of the sphenopalatine artery for epistaxis: long-term results

2007

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The aim of this study was to prospectively evaluate post-operative cessation of bleeding and late recurrence of epistaxis in a cohort of patients treated by endoscopic ligation of the sphenopalatine artery. Participants comprised patients undergoing sphenopalatine artery ligation for posterior epistaxis at three east Scotland hospitals. Main outcome measures were recurrence of epistaxis in the immediate post-operative period and at long-term follow up (minimum nine months). Forty-three patients (30 men and 13 women) underwent 45 procedures; two patients underwent bilateral ligation. Two patients suffered recurrence as in-patients. Two patients experienced subsequent epistaxis requiring medical treatment. Two further patients suffered minor late epistaxis not requiring treatment. Success in preventing significant recurrence was 93 per cent. All recurrences requiring intervention occurred within one month of surgery. None of the patients in this series reported nasal complications. We found sphenopalatine artery ligation to be an effective means of achieving long-term control of posterior epistaxis.

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Section: Introductionmentioning

confidence: 99%

Endoscopic control of the sphenopalatine artery for epistaxis: long-term results

2007

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“…5 Direct cauterization, external carotid artery ligation, selective maxillary artery embolization, transantral maxillary artery ligation, anterior ethmoidal artery ligation and septoplasty are some of the other options for control of posterior epistaxis. 6 Yet none of these treatments is ideal.…”

Section: Discussionmentioning

confidence: 99%

“…9 and hemostatic clips to the sphenopalatine vessels via a transnasal endoscopic route in 10 patients with intractable epistaxis and they also reported a success rate of 100% . 6 Multiple studies have reported a success rate of over 90% with no significant complications. 9,10 This study reports a success rate of about 88% in controlling the posterior epistaxis.…”

Section: Traditional Surgical Procedures For Intractablementioning

confidence: 99%

Endoscopic Cauterization of Sphenopalatine Artery in Posterior Epistaxis- Our Experience

Singh¹,

Das²,

Mukherjee³

et al. 2015

BJOHNS

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IntroductionEpistaxis is one of the commonest emergencies in Otorhinolaryngology. The management of intractable posterior epistaxis sometime becomes challenging to ENT surgeons. Over the last decade endoscopic cauterization of sphenopalatine artery has emerged as a viable and minimally invasive alternative. Materials and MethodsThirty four patients with intractable posterior epistaxis were treated by endoscopic sphenopalatine artery cauterization between March 2010 & February 2013. ResultsThere was no recurrence of epistaxis with an average follow-up of 12 months in 30 out of 34 patients. Only 4 patients had anterior epistaxis in follow up period, which were managed with anterior nasal packing. The success rate of endoscopic sphenopalatine artery cauterization, in this study was 88%. ConclusionEndoscopic sphenopalatine artery cauterization is a safe & efficient method of controlling persistent posterior epistaxis with minimal complication.

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“…The complications of this procedure have been extensively reported in the literature and include hemiplegia, ophthalmoplegia, facial paralysis/paresthesia, blindness, or other neurological deficits caused by accidental embolization of cerebral arteries [ 18 , 32 , 33 ]. These possible complications were shown to occur in up to 27% of cases [ 18 , 20 ].…”

Section: Nonsurgical Interventionsmentioning

confidence: 99%

Changing Trends in the Management of Epistaxis

Traboulsi

Alam

Hadi

2015

International Journal of Otolaryngology

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Epistaxis is a very common complaint seen by many types of physicians including otolaryngologists, family physicians, and others. Management of epistaxis is often challenging and requires many types of intervention. The following review describes the different types of past and current treatment modalities including cautery, nasal packing, maxillary artery ligation, anterior artery ligation, and sphenopalatine artery ligation. The paper also proposes an algorithm for managing such cases.

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Endoscopic Ligation of the Sphenopalatine Artery as a Primary Management of Severe Posterior Epistaxis in Patients with Coagulopathy

Cited by 12 publications

References 13 publications

Endoscopic control of the sphenopalatine artery for epistaxis: long-term results

Endoscopic control of the sphenopalatine artery for epistaxis: long-term results

Endoscopic Cauterization of Sphenopalatine Artery in Posterior Epistaxis- Our Experience

Changing Trends in the Management of Epistaxis

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