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Internal maxillary artery ligation for idiopathic intractable epistaxis
J C Passey1, V S Srinath, Ravi Meher
1Dept of ENT & Head Neck Surgery, MAMC and associated L N Hospital, 110 002 New Delhi, India.
Summary
Nosebleeds (epistaxis) are usually manageable with standard treatments. For severe cases unresponsive to conventional methods, transantral internal maxillary artery ligation offers a complete cure.
Area of Science:
- Otolaryngology
- Vascular Surgery
Background:
- Epistaxis is a common condition, but rarely life-threatening.
- Standard treatments like nasal packing and cauterization are effective in most cases (99%).
- Investigating local and systemic causes is crucial before diagnosing idiopathic epistaxis.
Purpose of the Study:
- To present two cases of severe epistaxis that did not respond to conventional therapies.
- To evaluate the efficacy of transantral internal maxillary artery ligation in refractory epistaxis.
Main Methods:
- Review of two clinical cases with persistent epistaxis.
- Surgical intervention involving transantral internal maxillary artery ligation.
Main Results:
- Both patients experienced complete resolution of epistaxis after the surgical procedure.
- Transantral internal maxillary artery ligation proved effective in managing severe, intractable epistaxis.
Conclusions:
- Transantral internal maxillary artery ligation is a viable and effective treatment option for epistaxis refractory to standard management.
- This surgical approach can lead to complete cure in challenging epistaxis cases.
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