| Posterior epistaxis: systematic review on the effectiveness of surgical therapies. | |
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MedLine Citation:
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PMID: 16405276 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Binja Feusi; David Holzmann; Johann Steurer |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Rhinology Volume: 43 ISSN: 0300-0729 ISO Abbreviation: Rhinology Publication Date: 2005 Dec |
Date Detail:
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Created Date: 2006-01-12 Completed Date: 2006-03-23 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0347242 Medline TA: Rhinology Country: Netherlands |
Other Details:
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Languages: eng Pagination: 300-4 Citation Subset: IM |
Affiliation:
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Horten Centre, University of Zurich, Switzerland. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Epistaxis
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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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