Outcomes of endoscopic sphenopalatine artery ligation for epistaxis: a five-year series from a single institution

Ear, Nose, & Throat Journal
David J HoweD W Skinner

Abstract

Epistaxis is a common emergency seen by the otolaryngologist. A minority of cases require surgical intervention. Multiple surgical procedures have been tried in the past, including endoscopic ligation of the sphenopalatine artery (ELSPA), which is considered an effective surgical modality in the management of epistaxis. This study examines the outcome of 33 ELSPA procedures over a 5-year period. Three of 4 cases that were not controlled with ELSPA were successfully managed with subsequent anterior ethmoidal ligation. Failed ELSPA procedures may represent an incorrect choice of procedure rather than a failure of the procedure. High-resolution computed tomography can identify the position of the anterior ethmoidal artery; it may be possible to infer vulnerability to hemorrhage from this artery and hence target procedure selection.

References

Apr 1, 1994·The Annals of Otology, Rhinology & Laryngology. Supplement·S P Becker
Apr 29, 1999·American Journal of Rhinology·C H SnydermanJ R Grandis
Sep 9, 2000·American Journal of Rhinology·P J WormaldC A van Hasselt
Jan 6, 2001·The Journal of Laryngology and Otology·T J Woolford, N S Jones
May 19, 2001·The Laryngoscope·H J MoonJ H Yoon

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Citations

Dec 28, 2017·The Journal of Laryngology and Otology·C SwordsC Hopkins
Feb 13, 2019·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Phillip HuyettCarl H Snyderman
Apr 24, 2019·Ear, Nose, & Throat Journal·Jae-Hoon Lee, Ha Min Jeong

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