Document Detail


Ligation of the sphenopalatine artery in posterior epistaxis. Retrospective study of 50 patients.
MedLine Citation:
PMID:  21277555     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVES: The aim of this study was to evaluate the efficacy of endoscopic ligation of the sphenopalatine artery in the treatment of severe posterior epistaxis. METHODS: We have carried out a retrospective study on 50 patients hospitalised with posterior recurrent epistaxis, in whom posterior nasal packing was not effective. All of them underwent surgical treatment, with endoscopic ligation of the sphenopalatine artery to control the epistaxis. RESULTS: Only seven patients had a new epistaxis after surgery. One of them is being studied for some kind of coagulopathy, another patient was controlled by ligation of the anterior ethmoidal artery and it was necessary to ligate the contralateral sphenopalatine artery in a third patient. The other four patients were controlled with posterior nasal packing and discharged two days after surgery, without any complications. CONCLUSIONS: We believe that endoscopic ligation of the sphenopalatine artery is a safe technique, with fewer complications than other methods such as posterior packing or embolisation.
Authors:
Beatriz Agreda; Angel Urpegui; José Ignacio Alfonso; Héctor Valles
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-1-28
Journal Detail:
Title:  Acta otorrinolaringologica espanola     Volume:  -     ISSN:  1988-3013     ISO Abbreviation:  -     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-1-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  14540260R     Medline TA:  Acta Otorrinolaringol Esp     Country:  -    
Other Details:
Languages:  ENG; SPA     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2010 Elsevier España, S.L. All rights reserved.
Affiliation:
Servicio de Otorrinolaringología, Hospital Clínico Universitario Lozano Blesa, Zaragoza.
Vernacular Title:
Ligadura de la arteria esfenopalatina en la epistaxis recidivante posterior. Estudio retrospectivo de 50 pacientes.
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