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Endoscopic Sphenopalatine Artery Cauterization in the Management of Recurrent Posterior Epistaxis
Background and Objectives: Endoscopic sphenopalatine artery cauterization (ESPAC) has become a reliable and effective surgical procedure for managing posterior epistaxis. The objectives of our study were to evaluate the effectiveness of ESPAC in the management of posterior epistaxis and the possible...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10300748/ https://www.ncbi.nlm.nih.gov/pubmed/37374332 http://dx.doi.org/10.3390/medicina59061128 |
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author | Pop, Sever Septimiu Tiple, Cristina Stamate, Mirela Cristina Chirila, Magdalena |
author_facet | Pop, Sever Septimiu Tiple, Cristina Stamate, Mirela Cristina Chirila, Magdalena |
author_sort | Pop, Sever Septimiu |
collection | PubMed |
description | Background and Objectives: Endoscopic sphenopalatine artery cauterization (ESPAC) has become a reliable and effective surgical procedure for managing posterior epistaxis. The objectives of our study were to evaluate the effectiveness of ESPAC in the management of posterior epistaxis and the possible factors that lead to the failure of the procedure. Materials and Methods: We performed a retrospective analysis of all patients who underwent ESPAC between 2018 and 2022. We retrospectively reviewed the demographic data, patients’ co-morbidities, medical treatment conditions, whether other surgical procedures were performed in addition to the ESPAC, and the success rate of ESPAC. Results: 28 patients were included in our study. After ESPAC, epistaxis was successfully managed in 25 patients (89.28%). Of all patients undergoing ESPAC, three (10.7%) presented re-bleeding. In two patients, we performed an endoscopic revision surgery with re-cauterization of the sphenopalatine foramen area, together with anterior and posterior ethmoidectomy, followed by fat occlusion/obliteration of these sinuses. In one patient, fat obliteration of the anterior and posterior ethmoid was also unsuccessful, and we performed an external carotid artery ligation at the level of the neck with no recurrence afterwards. Conclusions: Endoscopic cauterization of the sphenopalatine artery remains a safe, effective, and reliable surgical procedure in the management of recurrent posterior epistaxis. The use of anticoagulant drugs and the association of hypertension and other heart and liver diseases do not materialize as factors influencing surgical failure. |
format | Online Article Text |
id | pubmed-10300748 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-103007482023-06-29 Endoscopic Sphenopalatine Artery Cauterization in the Management of Recurrent Posterior Epistaxis Pop, Sever Septimiu Tiple, Cristina Stamate, Mirela Cristina Chirila, Magdalena Medicina (Kaunas) Article Background and Objectives: Endoscopic sphenopalatine artery cauterization (ESPAC) has become a reliable and effective surgical procedure for managing posterior epistaxis. The objectives of our study were to evaluate the effectiveness of ESPAC in the management of posterior epistaxis and the possible factors that lead to the failure of the procedure. Materials and Methods: We performed a retrospective analysis of all patients who underwent ESPAC between 2018 and 2022. We retrospectively reviewed the demographic data, patients’ co-morbidities, medical treatment conditions, whether other surgical procedures were performed in addition to the ESPAC, and the success rate of ESPAC. Results: 28 patients were included in our study. After ESPAC, epistaxis was successfully managed in 25 patients (89.28%). Of all patients undergoing ESPAC, three (10.7%) presented re-bleeding. In two patients, we performed an endoscopic revision surgery with re-cauterization of the sphenopalatine foramen area, together with anterior and posterior ethmoidectomy, followed by fat occlusion/obliteration of these sinuses. In one patient, fat obliteration of the anterior and posterior ethmoid was also unsuccessful, and we performed an external carotid artery ligation at the level of the neck with no recurrence afterwards. Conclusions: Endoscopic cauterization of the sphenopalatine artery remains a safe, effective, and reliable surgical procedure in the management of recurrent posterior epistaxis. The use of anticoagulant drugs and the association of hypertension and other heart and liver diseases do not materialize as factors influencing surgical failure. MDPI 2023-06-12 /pmc/articles/PMC10300748/ /pubmed/37374332 http://dx.doi.org/10.3390/medicina59061128 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Pop, Sever Septimiu Tiple, Cristina Stamate, Mirela Cristina Chirila, Magdalena Endoscopic Sphenopalatine Artery Cauterization in the Management of Recurrent Posterior Epistaxis |
title | Endoscopic Sphenopalatine Artery Cauterization in the Management of Recurrent Posterior Epistaxis |
title_full | Endoscopic Sphenopalatine Artery Cauterization in the Management of Recurrent Posterior Epistaxis |
title_fullStr | Endoscopic Sphenopalatine Artery Cauterization in the Management of Recurrent Posterior Epistaxis |
title_full_unstemmed | Endoscopic Sphenopalatine Artery Cauterization in the Management of Recurrent Posterior Epistaxis |
title_short | Endoscopic Sphenopalatine Artery Cauterization in the Management of Recurrent Posterior Epistaxis |
title_sort | endoscopic sphenopalatine artery cauterization in the management of recurrent posterior epistaxis |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10300748/ https://www.ncbi.nlm.nih.gov/pubmed/37374332 http://dx.doi.org/10.3390/medicina59061128 |
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