Rigid Endoscopy for the Control of Epistaxis

O'Leary-Stickney, Kathleen; Makielski, Kathleen H.; Weymuller, Ernest A.

doi:10.1001/archotol.1992.01880090082021

Cited by 31 publications

(21 citation statements)

References 18 publications

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“…Endoscopic cauterization has a failure rate of 17-33% [5]. Vigorous cauterization in the posterior part of the nose may result in thermal injury to the greater palatine nerve and palatal anesthesia and thermal injury to the optic nerve.…”

Section: Resultsmentioning

confidence: 99%

Arterial Blood Supply of the Nose: An Angiographic Study

Mostafa

Elsamny

Elserwi

et al. 2018

ORL

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Objective: To define anatomical variations associated with arterial blood supply of the nose which has clinical implications on the management of different disorders, especially intractable posterior epistaxis. Study Design: Case series. Methods: Selective angiography of external and internal carotid arteries of 100 patients scheduled for routine angiography was done. Results: Different anatomical variations were documented. The ophthalmic artery can arise from the middle meningeal artery in 1% while ethmoidal arteries can be absent in 5%. The maxillary artery courses as 2 loops in the pterygopalatine fossa in 64% of cases where the descending palatine artery originates before the first loop or on its top so that caution is needed in controlling epistaxis. The sphenopalatine artery has different patterns of branching and may have more than 2 branches in 18% of cases. In 19% of cases, there is cross-circulation between both sides through the nasal blood supply. Conclusion: Angiographic study of the nose is a very helpful tool for accurate knowledge of anatomical variations of the arteries with a tremendous effect on our surgical approaches and techniques for the management of different diseases in the nasal region, especially intractable posterior epistaxis.

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Section: Resultsmentioning

confidence: 99%

Arterial Blood Supply of the Nose: An Angiographic Study

Mostafa

Elsamny

Elserwi

et al. 2018

ORL

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“…Although the haemangiomatous mass was situated in the nasal cavity it hardly produced symptoms of frank epistaxis and the bleeding was mostly posterior producing symptoms of haemoptysis and haematemesis, and despite all investigations rigid endoscopy provided the relevant information and was helpful in treatment of the case [6].…”

Section: Discussionmentioning

confidence: 99%

Intractable Anemia: A Case of Bleeding Nasal Cavernous Hemangioma

Sarkar

Roychoudhury

Roychaudhuri

2011

Indian J Otolaryngol Head Neck Surg

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Cavernous haemangioma of the nose is rare, but when it occurs it usually presents with severe epistaxis. This nasal pathology is mostly seen in adult patient patients. Standard approach to dealing with such haemangiomas is surgical resection. A 30-year-old woman presented to General Physician with history of haemoptysis, haematemesis and weakness. She was admitted for investigation of her severe anaemia. On examination there was no obvious source of bleeding in the mouth or oropharynx, and Upper GI endoscopy did not reveal any pathology. She was referred to us after a trivial episode of epistaxis. Anterior and posterior rhinoscopy did not reveal any abnormality. Her extreme anxiety made indirect laryngoscopy and post-nasal space examination difficult but no obvious abnormality was seen. Diagnostic nasal endoscopy was done, and a small haemangiomatous mass was found in the postero superior part of inferior turbinate. Excision of the mass was done under local anaesthesia and sent for histopathological evaluation. The mass on histopathology came out to be Cavernous haemangioma.

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“…Este fato se deve à possibilidade de maior conforto para o paciente, diminuir a hospitalização e a necessidade de transfusão sanguínea, reduzir a morbidade e até mesmo a mortalidade. Algumas indicações são apontadas na ligadura vascular, de forma similar às indicadas para a cauterização endoscópica descrita por OLeary-Stickney et al 7 : a) discrasia sanguínea que contraindica o tamponamento ou cirurgia aberta; b) sangramento refratário com tampão posicionado; c) hemorragia após cirurgia nasal; e d) intolerância do paciente ao tamponamento.…”

Section: Discussionunclassified