Endoscopic transnasal cauterization of the anterior ethmoidal artery

Felippu, Alexandre; Mora, Renzo; Guastini, Luca

doi:10.3109/00016489.2011.593548

Cited by 13 publications

(8 citation statements)

References 16 publications

(20 reference statements)

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“…Most AEA bleedings are not as difficult to handle as one might imagine, 11 provided they are properly identified. 12 When completely severed, however, the AEA may retract to the inside of the orbit and continue to bleed, resulting in retrobulbar hemorrhage. 6,13 The progression causes loss of visual acuity or even amaurosis if orbital decompression is not performed.…”

Section: Introductionmentioning

confidence: 99%

Study of Anthropometric Measurements of the Anterior Ethmoidal Artery using Three-dimensional Scanning on 300 Patients

Bortoli

Martins

Negri

2017

Int Arch Otorhinolaryngol

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Introduction The anterior ethmoidal artery (AEA) is one of the main arteries that supply both the nasal mucosa and the ethmoid sinuses. The AEA shows variability regarding its distance from adjacent structures. Several studies have developed techniques to identify the AEA. Objective This study aimed to compare the measurements from the AEA to the ethmoid bulla and to the frontal beak by using computed tomography of the face, while identifying their intraindividual and interindividual variations. Methods We analyzed 300 CT scans of the face performed at the CT scan Center at Hospital. The average age of subjects was 36 ± 15.1 years (range 4–84). Results We found that the average distance from the AEA to the ethmoid bulla was 17.2 ± 1.8 mm and the distance from the AEA to the frontal beak was 15.1 ± 2.2 mm. Regarding the average distance from the AEA to the frontal beak (AEA-frontal beak), there was a difference between the right and left sides, with the former being 0.4 mm higher on average than the latter. Among the age groups, there was a significant difference of distances between the AEA and the ethmoid bulla (AEA-ethmoid bulla), which were shorter in the ≤ 12 years group. There was a positive and significant correlation between both measurements analyzed, with low values (high) of AEA-ethmoid bulla distance corresponding to low values (high) of AEA-frontal beak distance. Conclusion The measurements obtained adds anatomical knowledge that can serve as a parameter in frontal and ethmoid sinus surgery.

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Section: Introductionmentioning

confidence: 99%

Study of Anthropometric Measurements of the Anterior Ethmoidal Artery using Three-dimensional Scanning on 300 Patients

Bortoli

Martins

Negri

2017

Int Arch Otorhinolaryngol

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“…Bleeding from the anterior or posterior ethmoidal arteries can also be a cause of epistaxis after SPA ligation (9,12) . in blood supply to the anterior septum (13) .…”

Section: Discussionmentioning

confidence: 99%

Outcomes of sphenopalatine and internal maxillary artery ligation inside the pterygopalatine fossa for posterior epistaxis

Piastro¹,

Scagnelli²,

Gildener-Leapman³

et al. 2018

Rhin

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“…After preoperative height determination of the lateral lamella of the cribriform plate and localization of the AEA, an ethmoidectomy can be performed to provide direct visualization of the AEA for ligation. 12,36 In an expanded endonasal approach for resection of anterior skull base tumors, after maxillary antrostomy and removal of the uncinate process, the ethmoidal arteries are directly visualized lateral to the lamina papyracea. 1,12,50 The PEA if present can be identified closer to the sphenoid sinus (Fig.…”

Section: 44mentioning

confidence: 99%

Extracranial ligation of ethmoidal arteries before resection of giant olfactory groove or planum sphenoidale meningiomas: 3 illustrative cases with a review of the literature on surgical techniques

Manjila¹,

Cox²,

Smith³

et al. 2013

FOC

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Object There are several surgical techniques for reducing blood loss—open surgical and endoscopic—prior to resection of giant anterior skull base meningiomas, especially when preoperative embolization is risky or not technically feasible. The authors present examples of an institutional experience using surgical ligation of the anterior and posterior ethmoidal arteries producing persistent tumor blush in partially embolized tumors. Methods The authors identified 12 patients who underwent extracranial surgical ligation of ethmoidal arteries through either a transcaruncular or a Lynch approach. Of these, 3 patients had giant olfactory groove or planum sphenoidale meningiomas. After approval from the institution privacy officer, the authors studied the medical records and imaging data of these 3 patients, with special attention to surgical technique and outcome. The variations of ethmoidal artery foramina pertaining to this surgical approach were studied using preserved human skulls from the Hamann-Todd Osteological Collection at the Museum of Natural History, Cleveland, Ohio. Results The extracranial ligation was performed successfully for control of the ethmoidal arteries prior to resection of hypervascular giant anterior skull base meningiomas. The surgical anatomy and landmarks for ethmoidal arteries were reviewed in anthropology specimens and available literature with reference to described surgical techniques. Conclusions Extracranial surgical ligation of anterior, and often posterior, ethmoidal arteries prior to resection of large olfactory groove or planum sphenoidale meningiomas provides a safe and feasible option for control of these vessels prior to either open or endoscopic resection of nonembolized or partially embolized tumors.

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Endoscopic transnasal cauterization of the anterior ethmoidal artery

Cited by 13 publications

References 16 publications

Study of Anthropometric Measurements of the Anterior Ethmoidal Artery using Three-dimensional Scanning on 300 Patients

Study of Anthropometric Measurements of the Anterior Ethmoidal Artery using Three-dimensional Scanning on 300 Patients

Outcomes of sphenopalatine and internal maxillary artery ligation inside the pterygopalatine fossa for posterior epistaxis

Extracranial ligation of ethmoidal arteries before resection of giant olfactory groove or planum sphenoidale meningiomas: 3 illustrative cases with a review of the literature on surgical techniques

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