Endoscopic Ligation of Maxillary and Sphenopalatine Artery for Intractable Epistaxis

Arikata Masahiko, Seno Satoshi, Suzuki Mikio, Sakurai Hironori, Tojima Ichiro, Shimizu Takeshi

doi:10.3950/jibiinkoka.109.649

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Other Title

難治性鼻出血症例の検討―鼻内視鏡下血管クリッピングを中心に―
ナンジセイビシュッケツショウレイノケントウビナイシキョウカケッカンクリッピングオチュウシンニ
鼻内視鏡下血管クリッピングを中心に

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Description

We report the endoscopic ligation of the maxillary and sphenopalatine arteries for the treatment of intractable epistaxis. From March 2003 to February 2005, 17 patients (12 men, 5 women) with epistaxis were hospitalized in our department. Patient age ranged from 25 to 83 years, with an average age of 62 years. 8 patients were successfully treated using the conventional packing method, 2 patients were treated using electrocauterization, and 1 patient with macroglobulinemia was treated using plasma exchange therapy. 6 patients underwent endoscopic ligation of the maxillary and sphenopalatine arteries while under general anesthesia. The post operative courses were uneventful, and no recurrent bleeding has been noted. Endscopic ligation of the maxillary and sphenopalatine arteries is safer than intraarterial embolization and less invasive than conventional surgical approach for the ligation of maxillary artery. This technique appears to be a safe and effective surgical treatment for patients with intractable epistaxis.

Journal

Nippon Jibiinkoka Gakkai Kaiho

Nippon Jibiinkoka Gakkai Kaiho 109 (8), 649-654, 2006

Japanese Society of Otorhinolaryngology-Head and neck surgery

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