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Endoscopic control of the sphenopalatine artery for epistaxis: long-term results

Published online by Cambridge University Press:  04 January 2007

M Abdelkader ,
S C Leong  and
P S White
M Abdelkader
Affiliation:
Department of Otolaryngology, University of Dundee, Ninewells Hospital and Medical School, Dundee, Scotland, UK.
S C Leong
Affiliation:
Department of Otolaryngology, University of Dundee, Ninewells Hospital and Medical School, Dundee, Scotland, UK.
P S White*
Affiliation:
Department of Otolaryngology, University of Dundee, Ninewells Hospital and Medical School, Dundee, Scotland, UK.
*
Address for correspondence: Mr P S White, Senior Lecturer in Rhinology, Department of Otolaryngology, Ninewells Hospital and Medical School, Dundee DD1 9SY, Scotland, UK. Fax: (+44) 1382 632 816 E-mail: paul.s.white@tuht.scot.nhs.uk
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Abstract

The aim of this study was to prospectively evaluate post-operative cessation of bleeding and late recurrence of epistaxis in a cohort of patients treated by endoscopic ligation of the sphenopalatine artery. Participants comprised patients undergoing sphenopalatine artery ligation for posterior epistaxis at three east Scotland hospitals. Main outcome measures were recurrence of epistaxis in the immediate post-operative period and at long-term follow up (minimum nine months). Forty-three patients (30 men and 13 women) underwent 45 procedures; two patients underwent bilateral ligation. Two patients suffered recurrence as in-patients. Two patients experienced subsequent epistaxis requiring medical treatment. Two further patients suffered minor late epistaxis not requiring treatment. Success in preventing significant recurrence was 93 per cent. All recurrences requiring intervention occurred within one month of surgery. None of the patients in this series reported nasal complications. We found sphenopalatine artery ligation to be an effective means of achieving long-term control of posterior epistaxis.

Keywords

EpistaxisSphenopalatine ArteryLigation, Endoscopic
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 121 , Issue 8 , August 2007 , pp. 759 - 762
Copyright
Copyright © JLO (1984) Limited 2007

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