Hostname: page-component-76fb5796d-wq484 Total loading time: 0 Render date: 2024-04-26T02:38:35.063Z Has data issue: false hasContentIssue false
  • English
  • Français

Endoscopic ligation or diathermy of the sphenopalatine artery in persistent epistaxis

Published online by Cambridge University Press:  29 June 2007

H. R. Sharp ,
J. M. Rowe-Jones ,
G. S. Biring  and
I. S. Mackay
H. R. Sharp*
Affiliation:
Department of Rhinology, Charing Cross Hospital, Fulham Palace Road, London, UK
J. M. Rowe-Jones
Affiliation:
Department of Rhinology, Charing Cross Hospital, Fulham Palace Road, London, UK
G. S. Biring
Affiliation:
Department of Rhinology, Charing Cross Hospital, Fulham Palace Road, London, UK
I. S. Mackay
Affiliation:
Department of Rhinology, Charing Cross Hospital, Fulham Palace Road, London, UK
*
Address for correspondence: Mr H. R. Sharp, F.R.C.S, Department of Rhinology, Charing Cross Hospital, Fulham Palace Road, London W6 8RF
Get access Rights & Permissions [Opens in a new window]

Abstract

Conventional methods of arterial ligation in persistent epistaxis often involve significant surgical morbidity, as well as failure due to arterial anastomosis.

We have performed endoscopic intranasal end ligation or diathermy of 11 sphenopalatine arteries in 10 patients with no complications and with no further episodes of epistaxis, with an average follow-up period of nine months.

Keywords

EpistaxisEndoscopy, surgery
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 111 , Issue 11 , November 1997 , pp. 1047 - 1050
Copyright
Copyright © JLO (1984) Limited 1997

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Budrovich, R., Saetti, R. (1992) Microscopic and endoscopic ligation of the sphenopalatine artery. Laryngoscope 102: 1390–1394.CrossRefGoogle ScholarPubMed
Elwany, S., Kamel, T., Mekhamer, A. (1986) Pneumatic nasal catheters: advantages and drawbacks. Journal of Laryngology and Otology 100: 641–647.CrossRefGoogle ScholarPubMed
Federspil, P. (1971) Die Gefassunterbindugen beim unstillbaren Nasenbluten. HNO 19: 171–175.Google Scholar
Hallborg, O. E. (1952) Severe nosebleeds and their treatment. Journal of the American Medical Association 148: 355–360.CrossRefGoogle Scholar
McDonald, T. J., Pearson, B. W. (1980) Follow up on maxillary artery ligation for epistaxis. Archives of Otolaryngology – Head and Neck Surgery 106: 635–638.CrossRefGoogle ScholarPubMed
McGarry, G. W., Aitken, D. (1991) Intranasal balloon catheters: How do they work? Clinical Otolaryngology 16: 388–392.CrossRefGoogle ScholarPubMed
Metson, R., Lane, R. (1988) Internal maxillary artery ligation for epistaxis: An analysis of failures. Laryngoscope 98: 760–764.CrossRefGoogle ScholarPubMed
Pearson, B. W., MacKenzie, R. G., Goodman, W. S. (1969) The anatomical basis of transantral ligation of maxillary artery in severe epistaxis. Laryngoscope 79: 969–984.CrossRefGoogle ScholarPubMed
Prades, J. (1980) In Microcirugia endonasal de la fosa pterygomaxillary del meato medio. Salvat Edit, Barcelona.Google Scholar
Premachandra, D. J., Sergeant, R. J. (1993) Dominant maxillary artery as a cause of failure in maxillary artery ligation for posterior epistaxis. Clinical Otolaryngology 18: 42–47.CrossRefGoogle ScholarPubMed
Rosengale, R. S., Yanagisawa, E., Smith, E. W. (1973) Specific vessel ligation for epistaxis: Survey of sixty cases. Laryngoscope 83: 517–525.CrossRefGoogle Scholar
Shaheen, O. H. (1967) Epistaxis in the middle aged and elderly. Thesis, London: University of London.Google Scholar
Sulsenti, G., Yanez, C., Kadiri, M. (1987) Recurrent epistaxis: Microscopic endonasal clipping of the sphenopalatine artery. Rhinology 25: 141–142.Google ScholarPubMed
White, P. S. (1996) Endoscopic ligation of the sphenopalatine artery: A preliminary description. Journal of Laryngology and Otology 110: 27–30.CrossRefGoogle ScholarPubMed
Wurman, L. H., Sack, J. G., Paulson, T. O., Flannery, J. V. (1988) ‘How I do it’ – Selective endoscopic electrocautery for posterior epistaxis. Laryngoscope 98: 1348–1349.CrossRefGoogle Scholar