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

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.

2006 ◽  
Vol 121 (3) ◽  
pp. 279-280 ◽  
Author(s):  
D P Crampsey ◽  
C M Douglas ◽  
L D Cooke

We report a case of severe unilateral epistaxis requiring surgical arrest of bleeding, via endoscopic sphenopalatine artery ligation and anterior ethmoidal artery ligation. This followed recreational nasal insertion of St John's wort (Hypericum perforatum). Interactions between this substance and prescribed drugs have been described following oral ingestion. However, this unusual case highlights a further, worrying potential rhinological side effect of this substance.


2006 ◽  
Vol 116 (7) ◽  
pp. 1263-1267 ◽  
Author(s):  
Stephen R. Floreani ◽  
Salil B. Nair ◽  
Michael C. Switajewski ◽  
Peter-John Wormald

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