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Septal perforation and bilateral partial middle turbinate necrosis after bilateral sphenopalatine artery ligation

Published online by Cambridge University Press:  04 September 2013

E Elsheikh  and
M W El-Anwar
E Elsheikh
Affiliation:
Otolaryngology – Head and Neck Surgery Department, Faculty of Medicine, Zagazig University, Egypt
M W El-Anwar*
Affiliation:
Otolaryngology – Head and Neck Surgery Department, Faculty of Medicine, Zagazig University, Egypt
*
Address for correspondence: Dr Mohammad Waheed El-Anwar, Otolaryngology – Head and Neck Surgery Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt020552309843 Fax: +20552307830 E-mail: mwenteg@yahoo.com
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Abstract

Objective:

To report previously unreported complications of bilateral sphenopalatine artery ligation.

Subjects and methods:

We present the case of a 45-year-old man who underwent bilateral sphenopalatine artery ligation to control intractable posterior epistaxis. After four months, he re-presented with nasal obstruction and crusting.

Results and analysis:

Examination under general anaesthesia showed posterior septal perforation and bilateral necrosis of the lower parts of the middle turbinates. The necrotic parts were excised. The patient had no more complaints.

Conclusion:

Following sphenopalatine artery occlusion, ischaemic necrosis is a potential risk in anatomical areas that receive their only arterial supply from this artery. The staging of bilateral sphenopalatine artery occlusion needs to be studied.

Keywords

EpistaxisSurgical ProceduresOperativeLigationArteriesComplications
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 10 , October 2013 , pp. 1025 - 1027
Copyright
Copyright © JLO (1984) Limited 2013 

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References

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