Transcaruncular electrocoagulation of anterior ethmoidal artery for the treatment of severe epistaxis.

Morera, Eduardo; Artigas, Christian; Ferrán, Luis; Trobat, Francisca; Tomás, Manuel · Laryngoscope · 2011

case_series · Level IV

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Abstract

The irrigation of the upper third of the nasal fossa is supplied by the anterior ethmoidal artery. We describe a surgical technique to deal with epistaxis due to anterior ethmoidal artery bleeding. From January 2006 to March 2010 transcaruncular coagulation of the anterior ethmoidal artery was done on nine patients with epistaxis of the upper third of the nasal fossa. The procedure was successful on all cases. No bleeding relapse, major complications, or nasal or orbital sequelae were present in any of the patients. Transcaruncular electrocoagulation of the anterior ethmoidal artery is a safe and effective technique to deal with upper third nasal fossa bleeding.

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