Endoscopic Cauterization of Sphenopalatine Artery in Posterior Epistaxis- Our Experience

Main Article Content

Mukesh Kumar Singh
Chiranjib Das
Dwaipayan Mukherjee
Anirudhha Majumder
Tapan Kanti Hazra

Abstract

Introduction
Epistaxis is one of the commonest emergencies in Otorhinolaryngology. The management of intractable posterior epistaxis sometime becomes challenging to ENT surgeons. Over the last decade endoscopic cauterization of sphenopalatine artery has emerged as a viable and minimally invasive alternative.


Materials and Methods
Thirty four patients with intractable posterior epistaxis were treated by endoscopic sphenopalatine artery cauterization between March 2010 & February 2013.


Results
There was no recurrence of epistaxis with an average follow-up of 12 months in 30 out of 34 patients. Only 4 patients had anterior epistaxis in follow up period, which were managed with anterior nasal packing. The success rate of endoscopic sphenopalatine artery cauterization, in this study was 88%.


Conclusion
Endoscopic sphenopalatine artery cauterization is a safe & efficient method of controlling persistent posterior epistaxis with minimal complication.

Article Details

How to Cite
1.
Singh MK, Das C, Mukherjee D, Majumder A, Hazra TK. Endoscopic Cauterization of Sphenopalatine Artery in Posterior Epistaxis- Our Experience. BJOHNS [Internet]. 2015Aug.1 [cited 2024Jun.29];23(2):63-6. Available from: https://bjohns.in/journal3/index.php/bjohns/article/view/46
Section
Our experience

References

Hadoura L, Douglas I et al. Mapping surgical coordinates of sphenopalatine foramen: Surgical navigation study. J Laryngol Otol 2009;123:742-5

Sharp HR, Rowe-Jones JM, Maekay IS. Endoscopic ligation or diathermy of SPA in persistent epistaxis. J Laryngol Otol 1997; 111:1047-50

Feusi B, Holzmann D et al. Posterior epistaxis: Systemic review on the effectiveness of surgical therapies. Rhinology 2005; 43:300-4

Mc Garry, GW. Nasal endoscope in posterior epistaxis: a preliminary evaluation. J Laryngol Otol 1991; 105:428-31

N Prepageran, Krishnan G. Endoscopic coagulation of sphenopalatine artery for posterior epistaxis. Singapore Med. J 2003; 44:123-5

Shah GA, Stachler JR, Krouse JH. Endoscopic ligation of sphenopalatine artery as a primary management of severe posterior epistaxis in patients with coagulopathy. Ear Nose Throat journal 2005: 84:296-7

Schaitkin B, Strauss M et al. Epistaxis: Medical versus Surgical therapy, Comparison of efficacy, complications and economic considerations. Laryngoscope 1987; 97:1392-5

Siniluoto TM, Leinonen AS et al. Embolization for management of posterior epistaxis. Arch Otolaryngol 1993:837-41

Sharp HR, Rowe-Jones JM et al. Endoscopic ligation of sphenopalatine artery in persistent epistaxis. J Laryngol otol 1997; 111:1047-5

Wiorowski M, Schultz P et al. Indication & results of cauterization by endoscopic approach of the sphenopalatine artery in severe posterior epistaxis. Auris Nasus Larynx 2004; 31:131-3

Most read articles by the same author(s)

1 2 > >>