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Endoscopic Sphenopalatine Artery Cauterization in Epistaxis
Epistaxis or nosebleed whith has been a challenging problem for our ENT specially, specially inintractable posteriol epistaxis despite consevative measures. As transnasal endoscopic sinonasal surgery has beena widely accepted technique nowadays. Conventional management options in the form of anterior and posterior packing, arterial ligation of the internal maxillary or the external carotid artery and embolization, are not entirely statisfactory because of morbility, high failure rates and significant complication. Out experience of endoscopic cauterization of sphenopalatine anery for two patients with persistent posterior epistaxis is descripbed, which was rapidly controlled following the prosedure. This technique is simple and effective for persistens posterior epistaxis with low morbidity and complication, and should be one of the treatment options to be considered relatively early in the management of epistaxis of eptions to be considered relatively early in the management of epistxis refractory to anterior and posterior nasal packing.
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