Publication: Outcome of Endoscopic Sphenopalatine Artery Cauterization for Posterior Epistaxis
Date
2019
Journal Title
Journal ISSN
Volume Title
Publisher
Institute of Medicine
Abstract
ABSTRACT
Introduction
Epistaxis is a common otorhinolaryngology emergency condition. Majority of it is anterior epistaxis which usually improves with conservative management. However, for posterior epistaxis, apart from posterior nasal packing, endoscopic sphenopalatine artery cauterization (ESPAC) is considered an effective measure for its control. Hence, this study was conducted to evaluate the outcome of endoscopic sphenopalatine artery cauterization for posterior epistaxis.
Methods
Retrospective medical chart review of patients who underwent endoscopic sphenopalatine artery cauterization for posterior epistaxis from January to December 2018 at Ganesh Man Singh Memorial Academy of ENT-Head & Neck Surgery, Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Results
A total of 31 patients (21 males and 10 females) underwent ESPAC during the one-year period. Twenty-seven of them were unilateral whilst four were bilateral. Four of them rebled, of which two bled within 48 hours and the remaining two after two months. The overall success rate of ESPAC was 87.1% (27/31).
Conclusion
Endoscopic sphenopalatine artery cauterization is an effective measure to control posterior epistaxis.
Keywords: Endoscopy, epistaxis, nasal packing, sphenopalatine artery cauterization
Description
Bijaya Kharel, Urmila Gurung, Prashant Tripathi, Pabina Rayamajhi, Priyansha Silwal
Department of ENT, Maharajgunj Medical Campus, Ganesh Man Singh Memorial Academy of ENT-Head & Neck Surgery, Institute of Medicine, Kathmandu, Nepal
Keywords
Endoscopy, epistaxis, nasal packing, sphenopalatine artery cauterization