A Study of Management of Recurrent and Refractory Posterior Epistaxis by Transnasal Endoscopic Sphenopalatine Artery Cauterization

Karthik, S (2016) A Study of Management of Recurrent and Refractory Posterior Epistaxis by Transnasal Endoscopic Sphenopalatine Artery Cauterization. Masters thesis, Stanley Medical College, Chennai.

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Abstract

Epistaxis is one of the common emergencies in ENT practice. Most of them can be controlled by conservative means. Intractable posterior epistaxis is a challenging problem that needs invasive procedures for effective control in some patients. AIM OF THE STUDY: To assess the effectiveness of Transnasal Endoscopic Sphenopalatine Artery Cauterization for Recurrent and Refractory posterior epistaxis. MATERIALS AND METHODS: Between August 2014 to July 2015, a total of 23 patients (17 males and 6 females) with recurrent and refractory posterior epistaxis underwent Transnasal Endoscopic Sphenopalatine Artery Cauterization in the Department of Otorhinolaryngology, Govt. Stanley Medical College. 19 patients underwent surgery as an elective procedure while 4 were operated on emergency basis. RESULTS: Among 23 patients, 22 had control of epistaxis with no recurrence in the entire follow up period of three month.One patient had one episode, three weeks after surgery but was controlled by conservative means. He had no more episodes thereafter. We achieved a success rate of 99.2 percent for the follow up period. CONCLUSION: Transnasal Endoscopic Sphenopalatine Artery Cauterization is a safe, simple and effective procedure done under General or Local Anaesthesia with very low morbidity and less complication rates compared to other invasive procedures. It can be done with same the instruments used for Endoscopic Sinus Surgery. Considering the above facts, it can be considered as the immediate second line of management when conservative measures fail.

Item Type: Thesis (Masters)
Additional Information: Reg.No.221414051
Uncontrolled Keywords: Management ; Recurrent ; Refractory Posterior Epistaxis ; Transnasal Endoscopic Sphenopalatine Artery Cauterization.
Subjects: MEDICAL > Otolaryngology
Depositing User: Devi S
Date Deposited: 12 Feb 2019 15:38
Last Modified: 13 Feb 2019 04:40
URI: http://repository-tnmgrmu.ac.in/id/eprint/10551

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