Portal de Periódicos da CAPES

Endoscopic ligation of anterior ethmoidal artery in treatment of epistaxis

2000; Cambridge University Press; Volume: 114; Issue: 11 Linguagem: Inglês

10.1258/0022215001904167

1748-5460

N S Jones, T. J. Woolford,

Tracheal and airway disorders

Arterial ligation of the anterior ethmoidal artery may be required in cases of persistent epistaxis and conventional techniques involving open surgery carry a recognized morbidity. We describe an endoscopic, intranasal technique for ligation of the anterior ethmoidal artery. This technique was performed in a patient who had a severe epistaxis following nasal trauma. Her epistaxis persisted in spite of anterior and posterior nasal packing. Endoscopy showed the bleeding to originate high and lateral to the middle turbinate. Endoscopic exploration defined the frayed end of the anterior ethmoidal artery. A ligaclip was placed with immediate and persistent arrest of her epistaxis. No further nasal packs or treatment were required.