[Endoscopic ligation of maxillary and sphenopalatine artery for intractable epistaxis].

Abstract

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.

• Authors: Masahiko Arikata, Satoshi Seno, Mikio Suzuki, Hironori Sakurai, Ichiro Tojima, Takeshi Shimizu
• Journal: Nihon Jibiinkoka Gakkai kaiho (Nihon Jibiinkoka Gakkai Kaiho) Vol. 109 Issue 8 Pg. 649-54 (Aug 2006) ISSN: 0030-6622 [Print] Japan
• PMID: 16986742 (Publication Type: Case Reports, English Abstract, Journal Article)

Topics

• Adult
• Aged
• Aged, 80 and over
• Arteries (surgery)
• Endoscopy (methods)
• Epistaxis (surgery)
• Female
• Humans
• Ligation
• Male
• Maxillary Artery (surgery)
• Middle Aged
• Otorhinolaryngologic Surgical Procedures (methods)
• Palate (blood supply)
• Sphenoid Sinus (blood supply)
• Treatment Outcome