The authors have no funding, financial relationships, or conflicts of interest to disclose.
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Allergy/Rhinology
Direct cauterization of the nasal septal artery for epistaxis†
Article first published online: 20 MAR 2012
DOI: 10.1002/lary.23225
Copyright © 2012 The American Laryngological, Rhinological, and Otological Society, Inc.
Additional Information
How to Cite
Cooper, S. E. and Ramakrishnan, V. R. (2012), Direct cauterization of the nasal septal artery for epistaxis. The Laryngoscope, 122: 738–740. doi: 10.1002/lary.23225
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Publication History
- Issue published online: 20 MAR 2012
- Article first published online: 20 MAR 2012
- Accepted manuscript online: 1 FEB 2012 01:17AM EST
- Manuscript Accepted: 5 JAN 2012
- Manuscript Revised: 31 DEC 2011
- Manuscript Received: 9 DEC 2011
- Abstract
- Article
- References
- Cited By
Keywords:
- Epistaxis;
- sphenopalatine artery;
- nasal septal artery;
- posterior nasal artery;
- posterior septal artery
Abstract
Emergency management of epistaxis may include the use of local pressure and vasoconstrictors, chemical or electric cautery, hemostatic agents, nasal packing, embolization, and surgical arterial ligation. There is no definitive protocol for the management of epistaxis, although various protocols have been proposed in the literature. As approaches to surgical ligation of the arterial supply of the nasal cavity have evolved from external carotid ligation to minimally invasive approaches, surgical management of epistaxis has become more effective than embolization and may be less risky. In the surgical management of epistaxis, arterial ligation immediately proximal to the bleeding site is preferred. We propose a simple variation of the endoscopic sphenopalatine artery ligation that may be used to manage epistaxis arising from the nasal septum and floor. Laryngoscope, 2012