Endoscopic Cauterization of Sphenopalatine Artery in Posterior Epistaxis- Our Experience

Abstract

Introduction Epistaxis is one of the commonest emergencies in Otorhinolaryngology. The management of intractable posterior epistaxis sometime becomes challenging to ENT surgeons. Over the last decade endoscopic cauterization of sphenopalatine artery has emerged as a viable and minimally invasive alternative. Materials and Methods Thirty four patients with intractable posterior epistaxis were treated by endoscopic sphenopalatine artery cauterization between March 2010 & February 2013. Results There was no recurrence of epistaxis with an average follow-up of 12 months in 30 out of 34 patients. Only 4 patients had anterior epistaxis in follow up period, which were managed with anterior nasal packing. The success rate of endoscopic sphenopalatine artery cauterization, in this study was 88%. Conclusion Endoscopic sphenopalatine artery cauterization is a safe & efficient method of controlling persistent posterior epistaxis with minimal complication.

Keywords

• Epistaxis
• Endoscopy
• Ligation
• Cautery
• Diathermy