Research Article

The Efficacy of Sphenopalatine Artery Cauterization with or without Ligation in Idiopathic Resistant Posterior Epistaxis

Volume: 2 Number: 1 May 29, 2019
European Journal of Rhinology and Allergy Cover
European Journal of Rhinology and Allergy
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The Efficacy of Sphenopalatine Artery Cauterization with or without Ligation in Idiopathic Resistant Posterior Epistaxis

Abstract

Objective: Epistaxis is among the most common emergencies of ear, nose, and throat diseases. Although it can be controlled simply by applying ice and a local decongestant, more durable states and massive hemorrhage may affect the quality of life of the patient or even may be life-threatening accompanied by comorbid conditions. These types of resistant and massive hemorrhages, which we rarely encounter, are seen as posterior epistaxis. In this study, we aimed to retrospectively evaluate the patients who had endoscopic sphenopalatine artery ligation and/or cauterization and were admitted to the Uludağ University School of Medicine Hospital Hospital ENT department with resistant idiopathic epistaxis and compare the pre-operative buffer and post-operative pain scores using a visual analog scale (vas). Material and Methods: The patients who were admitted and hospitalized with epistaxis between 2014 and 2018 were evaluated retrospectively. A total of 60 patients were investigated. Cases with factors that may be involved in the etiology such as post-operative trauma, intranasal benign/malignant lesion, and bleeding diathesis were excluded in the first step. Patients who had been hospitalized with idiopathic resistant epistaxis but had not undergone transnasal endoscopic sphenopalatine artery ligation (TESPAL) and/or cauterization under general anesthesia were excluded. As a result, 10 patients were included in this study. Results: In our study, the surgical success rate was found to be 100%. There was a significant difference between vas and post-operative vas in terms of pain during pre-operative tamponade. Conclusion: TESPAL and/or cauterization seems to be an effective method. Its positive contribution to the morbidity and quality of life of the patient, as in our study, especially its effect on the level of pain, was evident when compared with conservative methods.

Keywords

References

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Details

Primary Language

English

Subjects

Otorhinolaryngology

Journal Section

Research Article

Authors

Hüseyin Barkın Yavuz This is me
0000-0002-0518-2515
Türkiye

Uygar Levent Demir This is me
0000-0002-9590-1420
Türkiye

Publication Date

May 29, 2019

Submission Date

January 19, 2019

Acceptance Date

May 28, 2019

Published in Issue

Year 2019 Volume: 2 Number: 1

DOI

https://doi.org/10.5152/ejra.2019.97

IZ

https://izlik.org/JA85UE47FS

Cite

RIS / Bibtex
APA
Yavuz, H. B., Demir, U. L., & Kasapoğlu, F. (2019). The Efficacy of Sphenopalatine Artery Cauterization with or without Ligation in Idiopathic Resistant Posterior Epistaxis. European Journal of Rhinology and Allergy, 2(1), 17-20. https://doi.org/10.5152/ejra.2019.97
AMA
1.Yavuz HB, Demir UL, Kasapoğlu F. The Efficacy of Sphenopalatine Artery Cauterization with or without Ligation in Idiopathic Resistant Posterior Epistaxis. Eur J Rhinol Allergy. 2019;2(1):17-20. doi:10.5152/ejra.2019.97
Chicago
Yavuz, Hüseyin Barkın, Uygar Levent Demir, and Fikret Kasapoğlu. 2019. “The Efficacy of Sphenopalatine Artery Cauterization With or Without Ligation in Idiopathic Resistant Posterior Epistaxis”. European Journal of Rhinology and Allergy 2 (1): 17-20. https://doi.org/10.5152/ejra.2019.97.
EndNote
Yavuz HB, Demir UL, Kasapoğlu F (May 1, 2019) The Efficacy of Sphenopalatine Artery Cauterization with or without Ligation in Idiopathic Resistant Posterior Epistaxis. European Journal of Rhinology and Allergy 2 1 17–20.
IEEE
[1]H. B. Yavuz, U. L. Demir, and F. Kasapoğlu, “The Efficacy of Sphenopalatine Artery Cauterization with or without Ligation in Idiopathic Resistant Posterior Epistaxis”, Eur J Rhinol Allergy, vol. 2, no. 1, pp. 17–20, May 2019, doi: 10.5152/ejra.2019.97.
ISNAD
Yavuz, Hüseyin Barkın - Demir, Uygar Levent - Kasapoğlu, Fikret. “The Efficacy of Sphenopalatine Artery Cauterization With or Without Ligation in Idiopathic Resistant Posterior Epistaxis”. European Journal of Rhinology and Allergy 2/1 (May 1, 2019): 17-20. https://doi.org/10.5152/ejra.2019.97.
JAMA
1.Yavuz HB, Demir UL, Kasapoğlu F. The Efficacy of Sphenopalatine Artery Cauterization with or without Ligation in Idiopathic Resistant Posterior Epistaxis. Eur J Rhinol Allergy. 2019;2:17–20.
MLA
Yavuz, Hüseyin Barkın, et al. “The Efficacy of Sphenopalatine Artery Cauterization With or Without Ligation in Idiopathic Resistant Posterior Epistaxis”. European Journal of Rhinology and Allergy, vol. 2, no. 1, May 2019, pp. 17-20, doi:10.5152/ejra.2019.97.
Vancouver
1.Hüseyin Barkın Yavuz, Uygar Levent Demir, Fikret Kasapoğlu. The Efficacy of Sphenopalatine Artery Cauterization with or without Ligation in Idiopathic Resistant Posterior Epistaxis. Eur J Rhinol Allergy. 2019 May 1;2(1):17-20. doi:10.5152/ejra.2019.97

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