Prevalence and characteristics of S-point bleeding compared to non S-point bleeding in severe epistaxis

Jeong, Hamin; Choi, Byeong Yoon; Lee, Jiyeon; Kim, Kyung Soo; Min, Sung Jin; Kim, Jin Kook

doi:10.1016/j.bjorl.2020.07.008

Cited by 10 publications

(20 citation statements)

References 15 publications

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“…Epistaxis is a common condition faced by ENT specialists in the clinic. Most cases can be conservatively controlled with nasal packing or direct cautery, however, arterial ligation is the most common surgical treatment option for dangerous and recurrent posterior epistaxis [9,10,12]. The SPA ligation was most commonly preferred method with a high success rate (89%), which can be explained by end artery and very little collateral circulation.…”

Section: Discussionmentioning

confidence: 99%

“…Epistaxis, seen in 60% of the population, of which 10% require medical attention, is one of the most common problems in otolaryngological emergencies [9,12,19]. Anatomically, it is classi ed as anterior epistaxis originating from Little's area where the Kiesselbach plexus is located, and posterior epistaxis originating from Woodruff's area where sphenopalatine artery (SPA) branches are located [9,12].…”

Section: Introductionmentioning

confidence: 99%

“…Epistaxis treatment, in which the rst aim is to nd and stop bleeding, has a wide range from non-surgical procedures including the anterior and posterior packing to arterial ligation, to surgical interventions in case of failure. The more severe and recurrent form of posterior epistaxis commonly requires ligation of the SPA due to its high success (87-100%) among surgical treatment options [1,9,19]. The SPA passes through the sphenopalatine foramen (SPF) and branches within it [3,15,16].…”

Section: Introductionmentioning

confidence: 99%

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Morphometric and Clinical Evaluation of Sphenopalatine Foramen on Computed Tomography Images

Şeker¹,

Açar²,

Çiçekcibaşı³

et al. 2022

Preprint

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Purpose This study aimed to investigate the effect of anatomical variations in the sphenopalatine foramen and the lateral nasal wall on sphenopalatine foramen-related morphometric measurements. Methods Temporal bone multidetector computed tomography records of 153 patients were evaluated. Morphometric measurements were made between the fixed anatomical landmarks and the sphenopalatine foramen. Number, shape, localization variation of the sphenopalatine foramen, concha bullosa, and septum deviation were noted. Results No significant difference was detected between the right-left sides for all distances measured except SPF-CA and SPF-BL and most of the measurements were higher in males. In addition, statistical analysis of the obtained morphometric data was performed according to age groups. Classified the shape of the sphenopalatine foramen five types and reported that the most common irregularly shaped (37.3%). In our study, 91.2% single, 7.8% double, and 1% triple sphenopalatine foramen were detected. The location of sphenopalatine foramen was reported as the most common type I. No statistically significant relationship could be determined between morphometric data and septum deviation types. SPF-NF, SPF-ML, OSPF-ANS, and HSPF-ANS measurements were found to be significantly smaller in the presence of concha bullosa, whereas SPFA was found to be higher. Conclusion This study revealed a significant relationship between the morphometric measurements of the sphenopalatine foramen and concha bullosa, while septum deviation types did not affect morphometric results. For a safer and more effective surgery with prevention of iatrogenic complications, a surgeon should be aware of this correlation, especially in endoscopic sphenopalatine foramen approaches.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Morphometric and Clinical Evaluation of Sphenopalatine Foramen on Computed Tomography Images

Şeker¹,

Açar²,

Çiçekcibaşı³

et al. 2022

Preprint

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“…Ancak şiddetli burun kanaması potansiyel olarak yaşamı tehdit edicidir ve olguların yaklaşık %4'ü hastane yatışını da içeren acil tedavi gerektirmektedir. [9,10] Yaşlı nüfusta daha yaygındır. [11] On yaş altında ve 40 yaş üstünde iki pik yapar.…”

Section: Discussionunclassified

“…Şiddetli burun kanaması için klasik cerrahi tedavi, sfenopalatin arter (SPA) dallarının koterizasyonunu veya SPA ligasyonunu içerir ve başarı oranı yüksektir. [10] Maksiller veya eksternal karotis arterin ligasyonu, etkinliğin azalması ve morbiditenin artması nedeniyle daha az kullanılmıştır. [14] Ancak bizim çalışmamızda bu cerrahi işlemleri gerekirecek şiddetli epistaksis olgusu görülmedi.…”

Section: Endoskopikunclassified