Resection of the ethmoidal crest in sphenopalatine artery surgery

Resection of the ethmoidal crest in sphenopalatine artery surgery

Author Neto, Paulo Saraceni Autor UNIFESP Google Scholar
Nunes, Leonardo Mendes Acatauassu Autor UNIFESP Google Scholar
Caparroz, Fábio de Azevedo Autor UNIFESP Google Scholar
Gregorio, Luciano Lobato Autor UNIFESP Google Scholar
Souza, Rafael de Paula e Silva Felice de Autor UNIFESP Google Scholar
Simoes, Juliana Caminha Autor UNIFESP Google Scholar
Kosugi, Eduardo Macoto Autor UNIFESP Google Scholar
Abstract Background: In severe cases of epistaxis, in spite of several procedures described in the literature for its management, surgical treatment has been recognized by most authors as 1 of the most effective, especially when it includes ligation and/or electrocoagulation of the nasal branches of the sphenopalatine artery. The objective of this study is to determine the importance of ethmoid crest resection during sphenopalatine artery surgery, in the management of severe epistaxis. Methods: We report a double-blinded randomized clinical trial, in which intervention was the ethmoid crest resection during electrocoagulation of the sphenopalatine artery. The study participants consisted of 42 patients with severe epistaxis and indication for surgical treatment, treated at the Otorhinolaryngology Emergency Room (ORL ER) of Hospital Sao Paulo, the teaching hospital of the Federal University of Sao Paulo. Results: There was significant greater exposure of the arte-rial branch after removal of the ethmoidal crest (p= 0.009). The rate of bleeding within 48 hours of the procedure was significantly lower in the crest removal group. Conclusion: Resection of the ethmoid crest during sphenopalatine surgery proved to be feasible without additional risks, including promoting decrease in the overall surgical time. It provided better exposure of arterial branches of the sphenopalatine foramen, leading to a lower rebleed-ing rate within 48 hours. (C) 2016 ARS-AAOA, LLC.
Keywords epistaxis
nasal surgical procedures
sphenopalatine artery
ethmoidal crest
endonasal surgery
xmlui.dri2xhtml.METS-1.0.item-coverage Hoboken
Language English
Date 2017
Published in International Forum Of Allergy & Rhinology. Hoboken, v. 7, n. 1, p. 87-90, 2017.
ISSN 2042-6976 (Sherpa/Romeo, impact factor)
Publisher Wiley
Extent 87-90
Origin http://dx.doi.org/10.1002/alr.21832
Access rights Closed access
Type Article
Web of Science ID WOS:000394900500013
URI https://repositorio.unifesp.br/handle/11600/56389

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