조기 내시경하 접형구개동맥 소작술을 통한 난치성 비출혈의 치료: 예비 연구

• Published in: Journal of rhinology pp. 112 - 118
• Main Authors: 윤성원, 손정협, 박민준, 김강현, 고범준, 김창규
• Format: Journal Article
• Language: Korean
• Published: 대한비과학회 01.11.2014
• Subjects: 이비인후과학
• ISSN: 1229-1498; 2384-4361

Background and Objectives : Intractable epistaxis is a challenging problem associated with clinical morbid-ity and high costs due to prolonged hospitalization. Early endoscopic electrocoagulation of the sphenopalatineartery can be a good alternative management. Subjects and Methods : This study is a retrospective review of 6patients with uncontrolled epistaxis between January 2013 and January 2014. A decision to surgically intervenewas made within 24 hours of hospitalization in all cases. Endoscopic electrocoagulation of the sphenopalatineartery was conducted under general anesthesia. Clinical and hematologic information, preoperative and surgicalcare, postoperative complications and surgical outcome, and duration of preoperative and postoperative hospitalstay were evaluated. Results : Epistaxis was effectively controlled in all cases. Four patients (66.7%) complainedof nasal dryness and one of them endured nasal crusting for 9 months after surgery. Recurrent posterior epistaxisoccurred after 5 postoperative months in one case, which was successfully controlled without surgery. The aver-age length of postoperative hospital stay was 2.5±0.5 days. The average total length of hospital stay was 4.8±0.8days. Conclusions : Early endoscopic electrocoagulation of the sphenopalatine artery seems effective for control-ling intractable epistaxis KCI Citation Count: 2