INTRODUCTION To evaluate the efficacy and cost-effectiveness of the treatments used for controlling epistaxis, particularly compared with the surgical endoscopic ligation or cauterization of sphenopalatine (SP) and anterior ethmoid (AE) arteries, a intervention prospective-retrospective study is presented with the aim of assessing the feasibility of these surgical techniques as an alternative t...

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, cardi...

Introduction: The position of the sphenopalatine artery is essential for the endoscopic treatment of severe posterior epistaxis. This artery passes through its own foramen, which has a wide range of locations and anatomic relations. Objective: To carry out a descriptive osteological study on the sphenopalatine foramen area. Its anatomy, size, position and relations with turbinates and choanae a...

INTRODUCTION The position of the sphenopalatine artery is essential for the endoscopic treatment of severe posterior epistaxis. This artery passes through its own foramen, which has a wide range of locations and anatomic relations. OBJECTIVE To carry out a descriptive osteological study on the sphenopalatine foramen area. Its anatomy, size, position and relations with turbinates and choanae a...

Epistaxis is the commonest emergency in otorhinolaryngology. Over the last decade endoscopic sphenopalatine artery (SPA) ligation has become a popular treatment option for posterior epistaxis and has been shown to be the most effective and cost-efficient definitive treatment for posterior epistaxis. SPA ligation is usually performed under general anesthesia. The majority of epistaxis patients a...

UNLABELLED Knowledge on the anatomy of the sphenopalatine artery (SPA) and its branches is fundamental for the success of the endoscopic treatment of posterior epistaxis. However, the complex anatomical variations seen in the irrigation of the nasal cavity poses a significant surgical challenge. OBJECTIVE This paper aims to describe the endoscopic anatomy of the SPA in human cadavers. MATER...

Pterygopalatine fossa (PPF) is a difficult-to-access anatomic area located behind the posterior wall of the maxillary sinus. Juvenile nasopharyngeal angiofibroma (JNA) often affects this area, and the management of feeding artery to the tumor is important in the surgery. Endoscopic endonasal approach to the PPF without endangering all other nasal structures is useful in the management of JNA. W...

* Received for publication: December 3, 2001; accepted: May 10, 2002 INTRODUCTION Epistaxis is the commonest nasal emergency requiring hospital admission (Small and Maran, 1984). Its prevalence in the population is estimated to be between 10–12% (Shaheen, 1967), of which 10% seek medical attention (Ram et al., 2000). Of these, 1% will require surgery (Ram et al., 2000). Traditionally, epistaxis...

OBJECTIVE To evaluate the effectiveness of endoscopic cauterization as definitive treatment for fourth branchial cleft sinuses. DESIGN Retrospective chart review with follow-up questionnaire. SETTING Tertiary care children's hospital. PATIENTS Ten children (age range, 10 months to 10 years) with fourth branchial cleft sinuses treated with endoscopic cauterization between 1995 and 2002. ...