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Posterior epistaxis: our experience with transantral ligation and embolisation
Acta Oto-Rhino-Laryngologica Belgica
|January 1, 1997
Summary
For intractable epistaxis, percutaneous embolisation of the arteria maxillares internae (AMI) is recommended over surgical ligation. Embolisation offers fewer complications, recurrences, and shorter hospital stays for epistaxis treatment.
Area of Science:
- Otolaryngology
- Interventional Radiology
- Vascular Surgery
Background:
- Intractable epistaxis often requires advanced interventions beyond traditional posterior packing.
- Surgical ligation of the arteria maxillares internae (AMI) has been a standard approach.
- Percutaneous embolisation presents an alternative therapeutic option.
Purpose of the Study:
- To compare the efficacy and outcomes of transantral AMI ligation versus percutaneous embolisation for intractable epistaxis.
- To evaluate complication rates, recurrence, hospital stay, and patient comfort between the two methods.
Main Methods:
- Retrospective or prospective comparative study design.
- Inclusion of patients with epistaxis unresponsive to conventional posterior nasal packing.
- Detailed comparison of transantral ligation (with or without arteria ethmoidalis ligation) and percutaneous embolisation procedures.
Main Results:
- Percutaneous embolisation resulted in significantly fewer complications compared to surgical ligation.
- Embolisation demonstrated lower rates of epistaxis recurrence.
- Patients undergoing embolisation experienced shorter hospital stays and improved postoperative comfort.
Conclusions:
- Percutaneous embolisation of the arteria maxillares internae is a preferred treatment for intractable epistaxis, except in cases of suspected ethmoidal artery bleeding.
- Embolisation offers a superior risk-benefit profile, leading to better patient outcomes and resource utilization.