Hostname: page-component-848d4c4894-wzw2p Total loading time: 0 Render date: 2024-05-30T12:31:18.969Z Has data issue: false hasContentIssue false
  • English
  • Français

Septal perforation and bilateral partial middle turbinate necrosis after bilateral sphenopalatine artery ligation

Published online by Cambridge University Press:  04 September 2013

E Elsheikh  and
M W El-Anwar
E Elsheikh
Affiliation:
Otolaryngology – Head and Neck Surgery Department, Faculty of Medicine, Zagazig University, Egypt
M W El-Anwar*
Affiliation:
Otolaryngology – Head and Neck Surgery Department, Faculty of Medicine, Zagazig University, Egypt
*
Address for correspondence: Dr Mohammad Waheed El-Anwar, Otolaryngology – Head and Neck Surgery Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt020552309843 Fax: +20552307830 E-mail: mwenteg@yahoo.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

To report previously unreported complications of bilateral sphenopalatine artery ligation.

Subjects and methods:

We present the case of a 45-year-old man who underwent bilateral sphenopalatine artery ligation to control intractable posterior epistaxis. After four months, he re-presented with nasal obstruction and crusting.

Results and analysis:

Examination under general anaesthesia showed posterior septal perforation and bilateral necrosis of the lower parts of the middle turbinates. The necrotic parts were excised. The patient had no more complaints.

Conclusion:

Following sphenopalatine artery occlusion, ischaemic necrosis is a potential risk in anatomical areas that receive their only arterial supply from this artery. The staging of bilateral sphenopalatine artery occlusion needs to be studied.

Keywords

EpistaxisSurgical ProceduresOperativeLigationArteriesComplications
Type
Clinical Records
Information
The Journal of Laryngology & Otology , Volume 127 , Issue 10 , October 2013 , pp. 1025 - 1027
Copyright
Copyright © JLO (1984) Limited 2013 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Agreda, B, Urpegui, A, Ignacio Alfonso, J, Valles, H. Ligation of the sphenopalatine artery in posterior epistaxis. Retrospective study of 50 patients [in Spanish]. Acta Otorrinolaringol Esp 2011;62:194–8CrossRefGoogle ScholarPubMed
2Orlandi, R. Endoscopic sphenopalatine atery ligation. Operative Techniques in Otolaryngology Head and Neck Surgery 2001;12:98–100CrossRefGoogle Scholar
3Snyderman, C, Goldman, S, Carrau, R, Ferguson, BJ, Grandis, JR. Endoscopic sphenopalatine artery ligation is an effective method of treatment for posterior epistaxis. Am J Rhinol 1999;13:137–40CrossRefGoogle ScholarPubMed
4Moorthy, R, Anand, R, Prior, M, Scott, PM. Inferior turbinate necrosis following sphenopalatine artery ligation. Otolaryngol Head Neck Surg 2003;129:159–60CrossRefGoogle ScholarPubMed
5Mahadevia, A, Murphy, K, Obray, R, Gailloud, P. Embolization for intractable epistaxis. Tech Vasc Interv Radiol 2005;8:134–8CrossRefGoogle ScholarPubMed