Journal of Rhinology

Korean Rhinologic Society (대한비과학회)
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Efficacy of Endoscopic Electrocauterization for Recurrent Posterior Epistaxis

반복되는 후방 비출혈에서 내시경 지혈술의 효과

  • Lee, Jung Joo (Departments of Otorhinolaryngology-Head and Neck Surgery Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Lee, Eunkyu (Departments of Otorhinolaryngology-Head and Neck Surgery Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Ryu, Gwanghui (Departments of Otorhinolaryngology-Head and Neck Surgery Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Seo, Min Young (Departments of Otorhinolaryngology-Head and Neck Surgery Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Hong, Sang Duk (Departments of Otorhinolaryngology-Head and Neck Surgery Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Kim, Hyo Yeol (Departments of Otorhinolaryngology-Head and Neck Surgery Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Dhong, Hun-Jong (Departments of Otorhinolaryngology-Head and Neck Surgery Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Chung, Seung-Kyu (Departments of Otorhinolaryngology-Head and Neck Surgery Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 이정주 (성균관대학교 의과대학 삼성서울병원 이비인후-두경부외과학교실) ;
  • 이은규 (성균관대학교 의과대학 삼성서울병원 이비인후-두경부외과학교실) ;
  • 류광희 (성균관대학교 의과대학 삼성서울병원 이비인후-두경부외과학교실) ;
  • 서민영 (성균관대학교 의과대학 삼성서울병원 이비인후-두경부외과학교실) ;
  • 홍상덕 (성균관대학교 의과대학 삼성서울병원 이비인후-두경부외과학교실) ;
  • 김효열 (성균관대학교 의과대학 삼성서울병원 이비인후-두경부외과학교실) ;
  • 동헌종 (성균관대학교 의과대학 삼성서울병원 이비인후-두경부외과학교실) ;
  • 정승규 (성균관대학교 의과대학 삼성서울병원 이비인후-두경부외과학교실)
  • Received : 2017.08.18
  • Accepted : 2017.12.05
  • Published : 2018.11.30
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Abstract

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. Subjects and Method: 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. Results: 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. Conclusion: 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.

Keywords

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