title: [Endoscopic ligation of maxillary and sphenopalatine artery for intractable epistaxis].
abstract: We report the endoscopic ligation of the maxillary and sphenopalatine arteries for the treatment of intractable epistaxis. From March 2003 to February 2005, 17 patients (12 men, 5 women) with epistaxis were hospitalized in our department. Patient age ranged from 25 to 83 years, with an average age of 62 years. 8 patients were successfully treated using the conventional packing method, 2 patients were treated using electrocauterization, and 1 patient with macroglobulinemia was treated using plasma exchange therapy. 6 patients underwent endoscopic ligation of the maxillary and sphenopalatine arteries while under general anesthesia. The post operative courses were uneventful, and no recurrent bleeding has been noted. Endscopic ligation of the maxillary and sphenopalatine arteries is safer than intraarterial embolization and less invasive than conventional surgical approach for the ligation of maxillary artery. This technique appears to be a safe and effective surgical treatment for patients with intractable epistaxis.
authors.affiliation: Department of Otolaryngology, Shiga University of Medical Science, Shiga.
authors.forename: Masahiko
authors.initials: M
authors.lastname: Arikata
authors.forename: Satoshi
authors.initials: S
authors.lastname: Seno
authors.forename: Mikio
authors.initials: M
authors.lastname: Suzuki
authors.forename: Hironori
authors.initials: H
authors.lastname: Sakurai
authors.forename: Ichiro
authors.initials: I
authors.lastname: Tojima
authors.forename: Takeshi
authors.initials: T
authors.lastname: Shimizu
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001158:Arteries / Q000601:surgery*; D004724:Endoscopy / Q000379:methods*; D004844:Epistaxis / Q000601:surgery*; D005260:Female; D006801:Humans; D008026:Ligation; D008297:Male; D008438:Maxillary Artery / Q000601:surgery*; D008875:Middle Aged; D013517:Otorhinolaryngologic Surgical Procedures / Q000379:methods*; D010159:Palate / Q000098:blood supply*; D013101:Sphenoid Sinus / Q000098:blood supply*; D016896:Treatment Outcome