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Endoscopic devascularisation of sphenopalatine bundle in intractable posterior epistaxis: technique, efficacy and safety

Published online by Cambridge University Press:  26 August 2011

H M Eladl ,
S M Elmorsy  and
Y W Khafagy
H M Eladl*
Affiliation:
Otorhinolaryngology Department, Mansoura University Hospital, Mansoura University, Egypt
S M Elmorsy
Affiliation:
Otorhinolaryngology Department, Mansoura University Hospital, Mansoura University, Egypt
Y W Khafagy
Affiliation:
Otorhinolaryngology Department, Mansoura University Hospital, Mansoura University, Egypt
*
Address for correspondence: Dr Hesham Mohammad Eladl, ORL Department, Mansoura University Hospital, Elgomhoria St, Mansoura, Egypt. PostalCode:35516 E-mail: heshameladl@mans.edu.eg
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Abstract

Objective:

To evaluate endoscopic cauterisation of the sphenopalatine neurovascular bundle, as treatment for intractable posterior epistaxis, with regard to efficacy, safety and post-operative sequelae.

Patients and methods:

A prospective study reviewed 42 patients with severe posterior epistaxis who were treated with endoscopic cauterisation of the sphenopalatine neurovascular bundle, over a 17-month period.

Results:

Hypertension and hepatic disease were present as predisposing factors in 66.7 and 35.7 per cent of patients, respectively. Branching of the sphenopalatine artery at its foramen was present in more than 85 per cent of patients. The success rate was 100 per cent, with no recurrent epistaxis in the follow-up period. Severe nasal dryness was present in only four patients (9.5 per cent); hypoaesthesia was found in the nasal mucosa of eight patients, without any patient complaints.

Conclusion:

Endoscopic sphenopalatine neurovascular bundle cauterisation is an effective treatment for refractory posterior epistaxis. In this study, neurovascular bundle cauterisation did not cause any neurological deficits or major complications.

Keywords

EpistaxisSphenopalatine ArteryCauteryMinimally Invasive Surgical Procedures
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 11 , November 2011 , pp. 1136 - 1140
Copyright
Copyright © JLO (1984) Limited 2011

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