Kamila Satomi HAIDA, Cássio Wassano IWAMOTTO, Roberto Hyczy RIBEIRO FILHO, Johann G. G. Melcherts HURTADO
Epistaxis is one of the most common otorhinolaryngological emergencies. Most cases are self-limiting and do not require medical support. While some bleeds require simple local compression to stop the bleeding, others require a more invasive approach, such as ligation or cauterization of the anterior ethmoidal artery or sphenopalatine artery. Anterior ethmoidal artery surgery by external access has been extensively described and studied in the literature. The advent of the endoscope for this procedure has offered the possibility of providing patients and surgeons with an alternative way to perform the surgery. In the present study, patients with epistaxis who underwent endoscopic cauterization of the anterior ethmoidal artery or sphenopalatine artery were selected, and the postoperative results, complications, and recurrence of bleeding were evaluated. In addition, the surgical technique used was described. From these data, it was concluded that endoscopic cauterization surgery of the anterior ethmoidal artery or sphenopalatine artery is effective in the treatment of epistaxis.
Haida KS, Iwamotto CW, Ribeiro Filho RH, Hurtado JGGM. Endoscopic surgery of the previous ethmoidal artery in the treatment of epistaxis: description of the technique and results. J Contemp Dis Adv Med. 2022 Jan-Apr;1(1):71-83.