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Use of trans-septal mattress suture of Little's area for anterior epistaxis

Published online by Cambridge University Press:  26 October 2010

S K Nitek ,
J Wysocki  and
C S Niszczota
S K Nitek*
Affiliation:
Department of Normal and Clinical Anatomy, Medical University of Warsaw, Poland
J Wysocki
Affiliation:
Otolaryngology and Rehabilitation Clinic, Medical University of Warsaw, Poland
C S Niszczota
Affiliation:
Department of Normal and Clinical Anatomy, Medical University of Warsaw, Poland
*
Address for correspondence: Dr Stanisław Nitek, Department of Normal and Clinical Anatomy, Medical University of Warsaw, 02-004 Warsaw, Chałubińskiego 5, Poland E-mail: stanislawnitek@wp.pl
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Abstract

Background:

In some cases of epistaxis, anterior packing and/or electrocoagulation are not sufficient and suturing is needed. However, standard suturing techniques are sometimes ineffective. This paper reports the use of a new kind of trans-septal mattress suture, based on regional vascular anatomy, in this clinical context.

Methods:

Four adult patients with haemorrhage in Little's area underwent standard suturing, but bleeding persisted. These patients were successfully treated with trans-septal mattress suturing, using four punctures around the haemorrhage site.

Results:

No relapses or complications were observed over a six-month follow-up period.

Conclusion:

In cases of persistent bleeding from Little's area, suturing should surround the bleeding area. The described suturing method is simple, efficacious and cheap.

Keywords

EpistaxisNasal SeptumSuture
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 125 , Issue 4 , April 2011 , pp. 399 - 401
Copyright
Copyright © JLO (1984) Limited 2010

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