Endoscopic Cauterization of the Sphenopalatine Artery to Control Severe and Recurrent Posterior Epistaxis
Introduction: Epistaxis is one of the most common medical emergencies, making the management of posterior epistaxis a challenging problem for the ear, nose, and throat (ENT) surgeon. In the cases of conservative management failure, ligation of the major arteries or percutaneous embolization of the m...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Mashhad University of Medical Sciences
2013-06-01
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| Series: | Iranian Journal of Otorhinolaryngology |
| Subjects: | |
| Online Access: | http://ijorl.mums.ac.ir/?_action=showPDF&article=662&_ob=7b38e010481b31c210b0582929956b6d&fileName=full_text.pdf |
| _version_ | 1819180975100264448 |
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| author | Behrooz Gandomi Mohammad Hosein Arzaghi Bijan Khademi Mohammad Rafatbakhsh |
| author_facet | Behrooz Gandomi Mohammad Hosein Arzaghi Bijan Khademi Mohammad Rafatbakhsh |
| author_sort | Behrooz Gandomi |
| collection | DOAJ |
| description | Introduction: Epistaxis is one of the most common medical emergencies, making the management of posterior epistaxis a challenging problem for the ear, nose, and throat (ENT) surgeon. In the cases of conservative management failure, ligation of the major arteries or percutaneous embolization of the maxillary artery is performed routinely in most units, but rates of failure and complications are high.The objective of this study was to assess the effectiveness of endoscopic sphenopalatine artery (SPA) cauterization in patients with refractory posterior epistaxis. Materials and Methods: Between April 2011 and January 2012, 27 patients (15 males and 12 females) with refractory posterior epistaxis underwent endoscopic SPA cauterization in two tertiary referral hospitals in Shiraz. Three patients underwent bilateral cauterization. Results: Four patients (from 30 arteries) had new epistaxis after surgery, three experienced subsequent epistaxis requiring medical treatment, and one patient had a minor epistaxis not needing treatment. Conclusion: The SPA electrocoagulation technique seems to be safe, simple, fast, and effective with low rates of morbidity and complications for the management of refractory posterior epistaxis. Endoscopic SPA cauterization should be considered as an immediate second-line management when conservative treatment as first-line management fails. |
| first_indexed | 2024-12-22T22:22:52Z |
| format | Article |
| id | doaj.art-932647e61296450298391ce971a7c1e5 |
| institution | Directory Open Access Journal |
| issn | 2251-7251 2251-726X |
| language | English |
| last_indexed | 2024-12-22T22:22:52Z |
| publishDate | 2013-06-01 |
| publisher | Mashhad University of Medical Sciences |
| record_format | Article |
| series | Iranian Journal of Otorhinolaryngology |
| spelling | doaj.art-932647e61296450298391ce971a7c1e52022-12-21T18:10:37ZengMashhad University of Medical SciencesIranian Journal of Otorhinolaryngology2251-72512251-726X2013-06-012572147152Endoscopic Cauterization of the Sphenopalatine Artery to Control Severe and Recurrent Posterior EpistaxisBehrooz GandomiMohammad Hosein ArzaghiBijan KhademiMohammad RafatbakhshIntroduction: Epistaxis is one of the most common medical emergencies, making the management of posterior epistaxis a challenging problem for the ear, nose, and throat (ENT) surgeon. In the cases of conservative management failure, ligation of the major arteries or percutaneous embolization of the maxillary artery is performed routinely in most units, but rates of failure and complications are high.The objective of this study was to assess the effectiveness of endoscopic sphenopalatine artery (SPA) cauterization in patients with refractory posterior epistaxis. Materials and Methods: Between April 2011 and January 2012, 27 patients (15 males and 12 females) with refractory posterior epistaxis underwent endoscopic SPA cauterization in two tertiary referral hospitals in Shiraz. Three patients underwent bilateral cauterization. Results: Four patients (from 30 arteries) had new epistaxis after surgery, three experienced subsequent epistaxis requiring medical treatment, and one patient had a minor epistaxis not needing treatment. Conclusion: The SPA electrocoagulation technique seems to be safe, simple, fast, and effective with low rates of morbidity and complications for the management of refractory posterior epistaxis. Endoscopic SPA cauterization should be considered as an immediate second-line management when conservative treatment as first-line management fails.http://ijorl.mums.ac.ir/?_action=showPDF&article=662&_ob=7b38e010481b31c210b0582929956b6d&fileName=full_text.pdfEpistaxisEndoscopic sphenopalatine artery cauterizationSPA electrocoagulation technique |
| spellingShingle | Behrooz Gandomi Mohammad Hosein Arzaghi Bijan Khademi Mohammad Rafatbakhsh Endoscopic Cauterization of the Sphenopalatine Artery to Control Severe and Recurrent Posterior Epistaxis Iranian Journal of Otorhinolaryngology Epistaxis Endoscopic sphenopalatine artery cauterization SPA electrocoagulation technique |
| title | Endoscopic Cauterization of the Sphenopalatine Artery to Control Severe and Recurrent Posterior Epistaxis |
| title_full | Endoscopic Cauterization of the Sphenopalatine Artery to Control Severe and Recurrent Posterior Epistaxis |
| title_fullStr | Endoscopic Cauterization of the Sphenopalatine Artery to Control Severe and Recurrent Posterior Epistaxis |
| title_full_unstemmed | Endoscopic Cauterization of the Sphenopalatine Artery to Control Severe and Recurrent Posterior Epistaxis |
| title_short | Endoscopic Cauterization of the Sphenopalatine Artery to Control Severe and Recurrent Posterior Epistaxis |
| title_sort | endoscopic cauterization of the sphenopalatine artery to control severe and recurrent posterior epistaxis |
| topic | Epistaxis Endoscopic sphenopalatine artery cauterization SPA electrocoagulation technique |
| url | http://ijorl.mums.ac.ir/?_action=showPDF&article=662&_ob=7b38e010481b31c210b0582929956b6d&fileName=full_text.pdf |
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