Success Rate of Endoscopic Sphenopalatine Artery Ligation for the Management of Refractory Posterior Epistaxis Patients in a Tertiary Care Hospital: A Descriptive Cross-sectional Study
Introduction: Epistaxis is a common medical emergency with 5% to 15% of patients admitted for epistaxis will require surgical management as nasal packing has high failure rates. A modern endoscopic technique like Endoscopic Sphenopalatine Artery Ligation has increased in popularity for managing intr...
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| Format: | Article |
| Language: | English |
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Nepal Medical Association
2020-12-01
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| Series: | Journal of Nepal Medical Association |
| Subjects: | |
| Online Access: | http://jnma.com.np/jnma/index.php/jnma/article/view/5855 |
| _version_ | 1798027127950409728 |
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| author | Meenakshi Basnet Bibek Ghimire Akriti Shrestha Gyan Raj Aryal |
| author_facet | Meenakshi Basnet Bibek Ghimire Akriti Shrestha Gyan Raj Aryal |
| author_sort | Meenakshi Basnet |
| collection | DOAJ |
| description | Introduction: Epistaxis is a common medical emergency with 5% to 15% of patients admitted for epistaxis will require surgical management as nasal packing has high failure rates. A modern endoscopic technique like Endoscopic Sphenopalatine Artery Ligation has increased in popularity for managing intractable posterior epistaxis. It has less complication and a high success rate. The study conducted to estimate the success rate of Endoscopic Sphenopalatine Artery Ligation of refractory posterior epistaxis among admitted patients in a tertiary care hospital.
Methods: This is a descriptive cross-sectional study conducted from June 2019 to June 2020 at the Department of Otorhinolaryngology, Nobel Medical College and Teaching Hospital among the patient with refractory posterior epistaxis with the help of retrospective data. A convenient sampling method was used. These patients underwent endoscopic sphenopalatine artery cauterization for recurrent/intractable posterior epistaxis. Ethical clearance was taken from the Institutional Review Board. Data were analyzed in Statistical Package for the Social Sciences.
Results: Out of the total patient with refractory posterior epistaxis who underwent Endoscopic Sphenopalatine Artery Ligation, the overall success rate was 39 (95.12%). Among them, 25 (60.97%) males and 16 (39.02%) females underwent endoscopic sphenopalatine artery ligation. Twenty (48.78%) of them were unilateral whilst 21 (51.21%) were bilateral disease. About 2 (4.8%) cases had re-bleeding within 48 hours which was managed conservatively. Hypertension was found to be the most common comorbid condition followed by diabetes, chronic kidney.
Conclusions: From our study, we conclude that the success rate for Endoscopic Sphenopalatine Artery Ligation in a patient with refractory posterior epistaxis was high. |
| first_indexed | 2024-04-11T18:46:27Z |
| format | Article |
| id | doaj.art-8c27bf1136454b5dbf351bce445e0007 |
| institution | Directory Open Access Journal |
| issn | 0028-2715 1815-672X |
| language | English |
| last_indexed | 2024-04-11T18:46:27Z |
| publishDate | 2020-12-01 |
| publisher | Nepal Medical Association |
| record_format | Article |
| series | Journal of Nepal Medical Association |
| spelling | doaj.art-8c27bf1136454b5dbf351bce445e00072022-12-22T04:08:43ZengNepal Medical AssociationJournal of Nepal Medical Association0028-27151815-672X2020-12-015823210.31729/jnma.5855Success Rate of Endoscopic Sphenopalatine Artery Ligation for the Management of Refractory Posterior Epistaxis Patients in a Tertiary Care Hospital: A Descriptive Cross-sectional StudyMeenakshi Basnet0Bibek Ghimire1Akriti Shrestha2Gyan Raj Aryal3Department of Otorhinolaryngology and Head and Neck Surgery, Nobel Medical College and Teaching Hospital, Biratnagar, NepalDepartment of Otorhinolaryngology and Head and Neck Surgery, Nobel Medical College and Teaching Hospital, Biratnagar, NepalDepartment of Otorhinolaryngology and Head and Neck Surgery, Nobel Medical College and Teaching Hospital, Biratnagar, NepalDepartment of Otorhinolaryngology and Head and Neck Surgery, Nobel Medical College and Teaching Hospital, Biratnagar, NepalIntroduction: Epistaxis is a common medical emergency with 5% to 15% of patients admitted for epistaxis will require surgical management as nasal packing has high failure rates. A modern endoscopic technique like Endoscopic Sphenopalatine Artery Ligation has increased in popularity for managing intractable posterior epistaxis. It has less complication and a high success rate. The study conducted to estimate the success rate of Endoscopic Sphenopalatine Artery Ligation of refractory posterior epistaxis among admitted patients in a tertiary care hospital. Methods: This is a descriptive cross-sectional study conducted from June 2019 to June 2020 at the Department of Otorhinolaryngology, Nobel Medical College and Teaching Hospital among the patient with refractory posterior epistaxis with the help of retrospective data. A convenient sampling method was used. These patients underwent endoscopic sphenopalatine artery cauterization for recurrent/intractable posterior epistaxis. Ethical clearance was taken from the Institutional Review Board. Data were analyzed in Statistical Package for the Social Sciences. Results: Out of the total patient with refractory posterior epistaxis who underwent Endoscopic Sphenopalatine Artery Ligation, the overall success rate was 39 (95.12%). Among them, 25 (60.97%) males and 16 (39.02%) females underwent endoscopic sphenopalatine artery ligation. Twenty (48.78%) of them were unilateral whilst 21 (51.21%) were bilateral disease. About 2 (4.8%) cases had re-bleeding within 48 hours which was managed conservatively. Hypertension was found to be the most common comorbid condition followed by diabetes, chronic kidney. Conclusions: From our study, we conclude that the success rate for Endoscopic Sphenopalatine Artery Ligation in a patient with refractory posterior epistaxis was high.http://jnma.com.np/jnma/index.php/jnma/article/view/5855endoscopy; epistaxis; Nepal; sphenopalatine artery. |
| spellingShingle | Meenakshi Basnet Bibek Ghimire Akriti Shrestha Gyan Raj Aryal Success Rate of Endoscopic Sphenopalatine Artery Ligation for the Management of Refractory Posterior Epistaxis Patients in a Tertiary Care Hospital: A Descriptive Cross-sectional Study Journal of Nepal Medical Association endoscopy; epistaxis; Nepal; sphenopalatine artery. |
| title | Success Rate of Endoscopic Sphenopalatine Artery Ligation for the Management of Refractory Posterior Epistaxis Patients in a Tertiary Care Hospital: A Descriptive Cross-sectional Study |
| title_full | Success Rate of Endoscopic Sphenopalatine Artery Ligation for the Management of Refractory Posterior Epistaxis Patients in a Tertiary Care Hospital: A Descriptive Cross-sectional Study |
| title_fullStr | Success Rate of Endoscopic Sphenopalatine Artery Ligation for the Management of Refractory Posterior Epistaxis Patients in a Tertiary Care Hospital: A Descriptive Cross-sectional Study |
| title_full_unstemmed | Success Rate of Endoscopic Sphenopalatine Artery Ligation for the Management of Refractory Posterior Epistaxis Patients in a Tertiary Care Hospital: A Descriptive Cross-sectional Study |
| title_short | Success Rate of Endoscopic Sphenopalatine Artery Ligation for the Management of Refractory Posterior Epistaxis Patients in a Tertiary Care Hospital: A Descriptive Cross-sectional Study |
| title_sort | success rate of endoscopic sphenopalatine artery ligation for the management of refractory posterior epistaxis patients in a tertiary care hospital a descriptive cross sectional study |
| topic | endoscopy; epistaxis; Nepal; sphenopalatine artery. |
| url | http://jnma.com.np/jnma/index.php/jnma/article/view/5855 |
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