Endoscopic Sphenopalatine Artery Ligation in Posterior Epistaxis

Authors

  • Brihaspati Sigdel Gandaki Medical College Teaching Hospital, Pokhara, Nepal

DOI:

https://doi.org/10.3126/njms.v5i2.36705

Keywords:

Endoscopy, Posterior Epistaxis, Sphenopalatine Artery Ligation

Abstract

Introduction: Posterior epistaxis brings us with a more challenging condition that can even threaten the life of a patient. Approaching the posterior nasal cavity is not an easy task because of its anatomical complexity and impending vision by turbinate. Increase endoscopic anatomic details of lateral nasal wall and endoscopic expertise with high definition camera leads to a higher success rate of endoscopic sphenopalatine artery ligation.
Methods: This prospective study was conducted in patients with refractory posterior epistaxis between January 2017 to December 2019. All patient who had undergone Endoscopic Sphenopalatine artery ligation were included in this study. The site of bleeding was confirmed with the help of a rigid endoscope. Bipolar cauterization or clipping was performed to stop bleeding. Data analysis was done by using SPSS 26.0 version.
Results: Twenty nine patients who had undergone Endoscopic sphenopalatine artery for posterior epistaxis were included during this study period. The mean age of the patient was 53.31 ± 18.65years. The site of bleeding was mostly from the left in 20 (75.9%) cases and 10 (34.4%) cases had severe bleeding that needed a blood transfusion. No recurrence of bleeding was found during follow up period. The severity of bleeding was significantly correlated with the age of patients (p<0.003). Out of 29 patient, 27 patients had undergone bipolar diathermy and 2 patients clipping was done.
Conclusion: Sphenopalatine artery ligation is an effective management strategy for surgical control of refractory epistaxis. The early timing of sphenopalatine artery ligation may lead to reductions in length of stay.

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Author Biography

Brihaspati Sigdel, Gandaki Medical College Teaching Hospital, Pokhara, Nepal

Associate Professor and Head of Department

Department of Otolaryngology

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Published

2020-12-30

How to Cite

Sigdel, B. (2020). Endoscopic Sphenopalatine Artery Ligation in Posterior Epistaxis. Nepal Journal of Medical Sciences, 5(2), 10–15. https://doi.org/10.3126/njms.v5i2.36705

Issue

Section

Original Articles