What is endoscopic ethmoidal artery ligation?
Abstract. Anterior ethmoidal artery ligation is a well-established surgical procedure in the management of epistaxis. We describe a procedure of anterior ethmoidal artery ligation via minimal access external surgery with the use of a rigid endoscope.
What is the difference between anterior and posterior epistaxis?
Anterior nosebleeds originate toward the front of the nose and cause blood to flow out through the nostrils. This is the most common type of nosebleed and it is usually not serious. Posterior nosebleeds originate toward the back of the nasal passage, near the throat.
Where is the ethmoidal artery located?
The anterior ethmoidal artery is a branch of the ophthalmic artery in the orbit. It exits the orbit through the anterior ethmoidal foramen.
What is epistaxis surgery?
A telescope is placed in the nose and surgical instruments are used to dissect out the sphenopalatine artery, which is a common source of posterior bleeds. Once this artery is identified, it is clipped closed with a surgical clip to close the vessel and prevent further bleeding.
Which artery is ligated in epistaxis?
Abstract. Epistaxis which is not controlled by anterior and posterior nasal packing is usually treated by ligation or embolization of the arterial supply to the nose. Transantral ligation of the maxillary artery, or embolization of its branches, have recently been considered the treatments of choice.
What is sphenopalatine artery ligation?
Objective: Sphenopalatine artery ligation is a commonly employed surgical intervention for control of posterior epistaxis unresponsive to nasal packing.
What are the two types of epistaxis?
Epistaxis (nosebleed) is one of the most common ear, nose, and throat (ENT) emergencies that present to the emergency room or primary care. There are two types of nosebleeds: anterior (more common), and posterior (less common, but more likely to require medical attention).
What is the ophthalmic artery a branch of?
the internal carotid artery
The ophthalmic artery is the first major branch of the internal carotid artery (ICA). It supplies the eyeball, ocular muscles, and adjacent structures with blood.
What is cribriform plate?
The cribriform plate is a transverse plate, pierced by many small cribriform foramina, that forms the anteroventral wall of the cranial cavity.
What is the best treatment of epistaxis?
Follow these steps to stop a nosebleed:
- Relax.
- Sit upright and lean your body and your head slightly forward.
- Breathe through your mouth.
- Use a tissue or damp washcloth to catch the blood.
- Use your thumb and index finger to pinch together the soft part of your nose.
What is Kiesselbach’s area?
The Kiesselbach plexus supplies blood to the anterior inferior (lower front) quadrant of the nasal septum. This area is also commonly known as the Little’s area, Kiesselbach’s area, or Kiesselbach’s triangle. The Kiesselbach plexus is named after Wilhelm Kiesselbach (1839-1902), a german otolaryngologist.