Endoscopic management of posterior epistaxis: a review

被引:0
|
作者
McClurg, S. W. [1 ]
Carrau, R. [1 ]
机构
[1] Ohio State Univ, Dept Otolaryngol Head & Neck Surg, Columbus, OH 43210 USA
关键词
Epistaxis; Endoscopic sphenopalatine artery ligation; Posterior epistaxis; Sphenopalatine artery; SPHENOPALATINE ARTERY LIGATION; NASAL PACKING; PTERYGOPALATINE FOSSA; EMBOLIZATION; ANATOMY; COMPLICATIONS; PATIENT; RARE;
D O I
暂无
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
The paradigm for the management of epistaxis, specifically posterior epistaxis, has undergone significant changes in the recent past. Recent prospective and retrospective data has shown that the endonasal surgical management of posterior epistaxis is superior to posterior nasal packing and angiography/embolization with regards to various factors including pain, cost-effectiveness, risk and overall control of bleeding. Endonasal endoscopic surgical techniques for posterior epistaxis include direct cauterization and transnasal endoscopic sphenopalatine/posterior nasal artery ligation or cauterization with or without control of the anterior ethmoidal artery. Despite the evidence provided by the current literature, a universal treatment protocol has not yet been established. This review article provides an up-to-date assessment of the available literature, and presents a structured paradigm for the management of posterior epistaxis.
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页码:1 / 8
页数:8
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