Transnasal endoscopic sphenopalatine artery ligation

Oral presentation

Transnasal endoscopic sphenopalatine artery ligation for recurrent epistaxis M. Hamdam Zavarce1, C.M. Chiesa Estomba2, R. Valdes Pons3, J.M. Melendez Garcia2, A.S. Araujo da Costa2, T. Rivera Schmitz2 1

Otorhinolaryngology - Head & Neck surgery, Hospital Quiron, Valencia, Spain

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Otorhinolaryngology - Head & Neck surgery, University Hospital of Vigo, Vigo, Spain

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Otorhinolaryngology - Head & Neck surgery, Hospital Povisa, Vigo, Spain

Abstract: ERS-1060 Session: Epistaxis Session Time: 23-06-14, 11:42 Location: Hall E Chair person: A. Swift Presenting author: C.M. Chiesa Estomba

Objectives Epistaxis is a common ENT emergency, with a prevalence of 12%, nevertheless only 1% requires surgical treatment. Patients with recurrent epistaxis often demand repeated and more aggressive procedures; they have comorbidities such as hypertension, cardiovascular diseases and anticoagulant treatment. Transnasal endoscopic surgery usually performed as ligation of the sphenopalatine artery is a safe, effective and a simple procedure with few complications. Methods Case report Results A 65-years-old woman with background of multiple posterior epistaxis episodes throughout the right nasal cavity, packed many times, with frequent incohersible recurrences for 10 years, and who had an endoscopic sinus surgery years earlier. Given the persistence of bleeding, anemia, and impact on quality of life of the patient, transnasal endoscopic sphenopalatine artery ligation was performed successfully, with a clip placement at the pedicle level, obtaining a definitive control of bleeding. Conclusion Sphenopalatine ligation is recommended in cases of recurrent posterior epistaxis, which are not solved with less invasive procedures as nasal packing, thus resulting in acute and chronic complications. Ligation by nasal endoscopic surgery is safe, reduces morbidity, decreased hospital stay and improves patient quality of life.

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