J Rhinol > Volume 25(2); 2018
Journal of Rhinology 2018;25(2):75-79.
Published online November 30, 2018.
DOI: https://doi.org/10.18787/jr.2018.25.2.75   
Efficacy of Endoscopic Electrocauterization for Recurrent Posterior Epistaxis
Jung Joo Lee, Eunkyu Lee, Gwanghui Ryu, Min Young Seo, Sang Duk Hong, Hyo Yeol Kim, Hun Jong Dhong, Seung Kyu Chung
Departments of Otorhinolaryngology-Head and Neck Surgery Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. rhinochung@gmail.com
반복되는 후방 비출혈에서 내시경 지혈술의 효과
이정주, 이은규, 류광희, 서민영, 홍상덕, 김효열, 동헌종, 정승규
성균관대학교 의과대학 삼성서울병원 이비인후-두경부외과학교실
Background and Objectives
To investigate the common site of recurrent epistaxis after initial intervention such as packing and cauterization had failed and to evaluate the efficacy of surgical endoscopic electrocautery.
Retrospective review of 47 patients with recurrent and uncontrolled idiopathic epistaxis between October 1995 and March 2016. All patients underwent endoscopic examination in the operating room after hospitalization. We performed electrocautery when a bleeding site was found.
The most common sites of bleeding were the inferior meatus (28%), sphenoethmoid recess (23%), superior septum around the olfactory cleft (13%), and the posterior end of the middle turbinate (15%). There was no serious complication during the one week after surgery. In 46 (98%) patients, refractory epistaxis was successfully controlled. One patient had recurrent epistaxis after electrocautery and underwent endoscopic sphenopalatine artery ligation.
In patients with refractory idiopathic epistaxis after failure of first-line treatment, endoscopic examination through a surgical approach and electrocautery for suspected bleeding are effective.
Key Words: Epistaxis;Posterior bleeding;Electrocauterization

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