Document Detail


Posterior epistaxis: systematic review on the effectiveness of surgical therapies.
MedLine Citation:
PMID:  16405276     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The optimal surgical treatment for patients with posterior epistaxis and failed conservative therapy is unknown. Therefore we planned a systematic review studying all available publications assessing the effect on bleeding recurrence and postoperative complications of ligation of the internal maxillary artery or the sphenopalatine artery. METHODS: We searched the electronic databases Medline, Medline In Process, and Cochrane Library. Data extraction was performed following standard methods. RESULTS: Twenty-eight studies could be included in the systematic review. All studies were retrospective and no single study comparing different methods could be identified. Fifteen studies reported on the effect of the ligation of the internal maxillary artery (LIMA) and 13 on the effect of the ligation of the sphenopalatine artery (LSA). The severity of postoperative complications and duration of hospital stay seem to be lower in the LSA group. A conclusive statement about the frequency of rebleeding in the two groups is not possible. CONCLUSION: According to the available data on postoperative complications and duration of hospital stay ligation of the sphenopalatine artery compared favourably to the ligation of the internal maxillary artery. The most effective treatment for patients with posterior epistaxis including costs should be evaluated in a controlled clinical trial.
Authors:
Binja Feusi; David Holzmann; Johann Steurer
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Rhinology     Volume:  43     ISSN:  0300-0729     ISO Abbreviation:  Rhinology     Publication Date:  2005 Dec 
Date Detail:
Created Date:  2006-01-12     Completed Date:  2006-03-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0347242     Medline TA:  Rhinology     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  300-4     Citation Subset:  IM    
Affiliation:
Horten Centre, University of Zurich, Switzerland.
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MeSH Terms
Descriptor/Qualifier:
Epistaxis / surgery*
Humans
Ligation
Maxillary Artery / surgery
Postoperative Complications
Recurrence
Reoperation
Sphenoid Sinus / blood supply

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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