Facial fractures, specifically orbitozygomatic and zygomaticomaxillary complex are well-documented common injuries. Pseudoaneurysm formation following cerebrovascular blunt trauma is a rarely experienced complication with an incidence rate of less than 1% only few cases reported in the literature. Traumatic pseudoaneurysm sphenopalatine artery (SPA), deepest branch maxillary artery, extremely r...

IMPORTANCE Congenital pyriform fossa sinus tracts predispose to neck masses and neck abscesses in pediatric and occasionally adult patients. Traditional management involves open excision with substantial potential morbidity. Endoscopic management allows an alternative, less morbid treatment approach. OBJECTIVE To evaluate the long-term effectiveness of endoscopic cauterization as definitive t...

BACKGROUND Epistaxis is a common otolaryngology emergency and is often controlled with first-line interventions such as cautery, hemostatic agents, or anterior nasal packing. A subset of patients will continue to bleed and require more aggressive therapy. METHODS Intractable spontaneous epistaxis was traditionally managed with posterior nasal packing and prolonged hospital admission. In an ef...

Sphenopalatine artery ligation (SPL) is a surgical remedy for severe epistaxis. This procedure requires extensive knowledge of the various anatomical variants. Its topographical anatomy varies and reliable landmark such as the crista ethmoidalis may be absent. These variations are crucial and they dictate the outcome of the surgery. We present a peculiar case of a postero-superiorly located var...

BACKGROUND The sphenopalatine foramen is located on the lateral nasal wall and has multiple variants and anatomic landmarks that are important to know to optimize RESULTS in the surgical management of posterior epistaxis. OBJECTIVE This study describes the endoscopic anatomy of the sphenopalatine foramen, related structures and anatomic variations in a Mexican population. METHODS We perform...

Objective Although posterior epistaxis is rarely seen, it is an important medical problem that both decreases the quality of life of the patient and causes difficulties in the management for otorhinolaryngologists. In this study, we aimed to present the results of 30 patients who underwent transnasal endoscopic sphenopalatine artery ligation (TESPAL) for posterior epistaxis in our department. ...

INTRODUCTION Local pedicle flaps based on the sphenopalatine artery make it possible to reconstruct large defects of the skull base (SB). MATERIAL AND METHODS From January 2008 to January 2013, 64 lesions with involvement of SB were analysed. These lesions were treated using endoscopic endonasal approach and required a pedicle flap based on the sphenopalatine artery. In addition, measurements...