Endoscopic sphenopalatine artery cauterization in recurrent posterior epistaxis: an experience at Dhulikhel Hospital, Kathmandu University Hospital.

With the advent of Rigid endoscope, the treatment of posterior Epistaxis become more easier and comfortable as compared to past where we have to keep the posterior pack for the control of bleeding. Thus, causing considerable discomfort and even cause the mucosal trauma and necrosis. Whereas in elderly, there is significant risk of nasal airway obstruction and complication such as hypoxia, cardiac arrhythmia or even death.1,2 Similarly, in case of failure of conservative management, internal maxillary artery ligation via transantral approach and also the ligation of ethmoidal and external carotid artery was the treatment option.