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Follow-up on maxillary artery ligation for epistaxis
Archives of Otolaryngology (Chicago, Ill. : 1960)
|October 1, 1980
Summary
Transantral maxillary artery ligation for severe epistaxis shows higher success and complication rates. Careful technique is crucial to avoid infraorbital nerve injury for this effective treatment.
Area of Science:
- Otolaryngology
- Vascular Surgery
- Head and Neck Surgery
Background:
- Epistaxis, or nosebleeds, can be severe and difficult to manage.
- Transantral maxillary artery ligation is a surgical option for intractable epistaxis.
Purpose of the Study:
- To compare the outcomes of transantral maxillary artery ligation with conservative management for epistaxis.
- To evaluate the efficacy and complication rates of this surgical procedure.
Main Methods:
- A retrospective comparison of 46 patients undergoing transantral maxillary artery ligation versus 30 control patients.
- Outcomes assessed included treatment success and complication rates.
Main Results:
- The maxillary artery ligation group demonstrated a higher success rate in controlling epistaxis.
- However, this group also experienced a higher rate of complications compared to controls.
- Injury to the infraorbital nerve was a noted complication.
Conclusions:
- Transantral maxillary artery ligation is a viable procedure for severe idiopathic epistaxis.
- Avoiding infraorbital nerve injury is paramount for successful outcomes and minimizing morbidity.