Extended Anterior Ethmoidal Artery Flap: Novel Endoscopic Technique for Large Septal Perforation

2021 ◽  
Author(s):  
Alfonso Santamaría‐Gadea ◽  
Cristobal Langdon ◽  
Isam Alobid
Keyword(s):  
Endoscopic Technique ◽  
Septal Perforation ◽  
Ethmoidal Artery ◽  
Anterior Ethmoidal Artery

Anterior Ethmoidal Artery Septal Flap for the Management of Septal Perforation

2011 ◽  
Vol 13 (6) ◽  
pp. 411-414
Author(s):  
Paola Castelnuovo ◽  
Fabio Ferreli ◽  
Iman Khodaei ◽  
Pietro Palma
Keyword(s):  
Septal Perforation ◽  
Ethmoidal Artery ◽  
Anterior Ethmoidal Artery

Septal Perforation Repair Utilizing an Anterior Ethmoidal Artery Flap and Collagen Matrix

2018 ◽  
Vol 33 (3) ◽  
pp. 256-262 ◽  
Author(s):  
Marina N. Cavada ◽  
Carolyn A. Orgain ◽  
Raquel Alvarado ◽  
Raymond Sacks ◽  
Richard J. Harvey
Keyword(s):  
Corticosteroid Injection ◽  
Case Series ◽  
Collagen Matrix ◽  
Contralateral Side ◽  
Septal Perforation ◽  
Closure Rate ◽  
Reliable Technique ◽  
Nasal Septal Perforation ◽  
Ethmoidal Artery ◽  
Anterior Ethmoidal Artery

Background Nasal septal perforation repair remains a challenge with no standard technique for repair recognized. Objective To describe the combination of an anterior ethmoidal artery flap with a collagen matrix inlay as a successful technique for nasal septal perforation repair. Methods A case series of consecutive patients who underwent nasal septal perforation repair with an anterior ethmoidal artery flap with an inlay collagen graft was conducted. Demographic data, preoperative features of the perforation (size, location, and presence of chondritis), and postoperative outcomes were analyzed; closure rate, mucosalization rate (of the contralateral side at 21 and 90 days), and complications (crusting, bleeding, obstruction, infection, and rehospitalization <30 days) were documented. Results Thirteen patients (age: 49 ± 15 years, 30.8% women) were assessed. The perforation size was 1.6 ± 0.9 cm (range: 0.3–3.5 cm) and located 1.2 ± 0.5 cm (range: 0.5–2.0 cm) posterior to the columella. Chondritis was present in 69.2%. The closure rate was 100% (95% confidence interval [CI]: 77%–100%) at both 21 and 90 days. One patient required a free mucosa graft to an area of persistent crusting on the contralateral side (7.7%). Complications were low; bleeding 0%, obstruction 7.7% (requiring corticosteroid injection of anterior ethmoidal artery flap), and 0% infection/rehospitalization. Conclusion Anterior ethmoidal artery flap with an inlay collagen matrix is a reliable technique to repair nasal septal perforation. This technique, with robust vascularity and wide angle of rotation, enables the closure of perforations both large (<50% total septum) and with anterior locations.

Giant aneurysm of anterior ethmoidal artery presenting with intracranial hemorrhage

1994 ◽  
Vol 81 (6) ◽  
pp. 934-936 ◽  
Author(s):  
Alok Ranjan ◽  
Thomas Joseph
Keyword(s):  
Intracranial Hemorrhage ◽  
Giant Aneurysm ◽  
Postoperative Recovery ◽  
Vascular Lesions ◽  
Feeding Artery ◽  
Neck Stiffness ◽  
Content Type ◽  
Ethmoidal Artery ◽  
Anterior Ethmoidal Artery ◽  
Fine Print

✓ This forty-five-year-old woman presented with a history suggestive of an intracranial hemorrhage. Clinical examination indicated mild right pyramidal signs and neck stiffness. Computerized tomography demonstrated contrast enhancement in the region of a left frontal intraparenchymal hematoma with an adjacent subdural hematoma. Angiography revealed the presence of a giant aneurysm on the left anterior ethmoidal artery. Surgical evacuation of the hematoma with excision of the aneurysm and coagulation of the feeding artery was achieved. Postoperative recovery was uneventful. Vascular lesions of the anterior ethmoidal artery and the rarity of a giant aneurysm at this site are discussed.

Endoscopic assisted external approach anterior ethmoidal artery ligation for the management of epistaxis

2003 ◽  
Vol 117 (2) ◽  
pp. 132-133 ◽  
Author(s):  
S. A. Douglas ◽  
D. Gupta
Keyword(s):  
Surgical Procedure ◽  
External Approach ◽  
Minimal Access ◽  
Artery Ligation ◽  
Rigid Endoscope ◽  
Ethmoidal Artery ◽  
Anterior Ethmoidal Artery

Anterior ethmoidal artery ligation is a well-established surgical procedure in the management of epistaxis. We describe a procedure of anterior ethmoidal artery ligation via minimal access external surgery with the use of a rigid endoscope. This is, as far as we are aware, the first description of an external approach endoscopic anterior ethmoidal artery ligation.

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