Transantral Ligation of the Maxillary Artery for Refractory Epistaxis : A Case Report

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Title ( eng )
Transantral Ligation of the Maxillary Artery for Refractory Epistaxis : A Case Report
Creator
Yajin Koji
Ono Kunihiko
Harada Yasuo
Source Title
Hiroshima Journal of Medical Sciences
Volume 40
Issue 3
Start Page 109
End Page 113
Journal Identifire
[PISSN] 0018-2052
[EISSN] 2433-7668
[NCID] AA00664312
Abstract
A case of severe arterial epistaxis treated by transantral ligation of the maxillary artery is reported. A 66-year-old woman had recurrent left sided epistaxis from the posterior nasal cavity which was difficult to control by conventional nasal packing methods. Selective angiography was performed to identify the arterial flow patterns and site of bleeding which was confirmed to be the descending palatine artery. Following radiographical examination, ligation and clipping of the maxillary artery and its branches was performed with transantral approach under general anesthesia. No further epistaxis occurred after the ligation. This surgical procedure seems to be relatively simple and highly effective in the management of refractory epistaxis.
Keywords
Epistaxis
Angiography
Maxillary artery ligation
NDC
Medical sciences [ 490 ]
Language
eng
Resource Type departmental bulletin paper
Publisher
Hiroshima University Medical Press
Date of Issued 1991-09
Publish Type Version of Record
Access Rights open access
Source Identifier
[ISSN] 0018-2052
[NCID] AA00664312
[PMID] 1761405