Anatomic variations of sphenopalatine artery and minimally invasive surgical cauterization procedure

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dc.contributor.authorMidilli, Rasit
dc.contributor.authorOrhan, Mustafa
dc.contributor.authorSaylam, Canan Y.
dc.contributor.authorAkyildiz, Serdar
dc.contributor.authorGode, Sercan
dc.contributor.authorKarci, Bulent
dc.date.accessioned2019-10-27T20:48:19Z
dc.date.available2019-10-27T20:48:19Z
dc.date.issued2009
dc.departmentEge Üniversitesien_US
dc.description.abstractBackground: Sphenopalatine artery (SPA) ligation or cauterization stands to be one of the most common management options of refractory epistaxis. Ramification pattern of SPA as it passes through sphenopalatine foramen (SPF) has not been clearly established. The aim of this study is to investigate situations in which middle meatal approach may fail due to anatomic variations of SPA and to define a minimally invasive surgical cauterization procedure. Anatomic variations of SPA were determined by microdissection of 20 adult sagittally cross-sectioned head specimens. Methods: Branching characteristics of SPA and its anatomic relations were evaluated and anatomic variations were noted. Results: SPA was generally (80%) forming branches within SPF before entering into the nasal cavity. In 20% of the specimens, SPF was located superior to the horizontal lamella of the middle turbinate, and accessory foramen was present in 10%. In 10% of the cases, the posterior lateral nasal branch was situated as two branches in a deep sulcus in the middle meatus. Conclusion: The ramification pattern of SPA can not be fully exposed without resection of the posterior part of the middle turbinate via the middle meatal approach. Two-step procedures are advocated in reducing failure rates. Previously defined two-step procedures are relatively invasive. A less invasive procedure is defined based on the variations of SPA and SPF. (Am J Rhinol Allergy 23, e38-e41, 2009; doi: 10.2500/ajra.2009.23.3403)en_US
dc.identifier.doi10.2500/ajra.2009.23.3403en_US
dc.identifier.endpageE41en_US
dc.identifier.issn1945-8924
dc.identifier.issue6en_US
dc.identifier.pmid19775506en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpageE38en_US
dc.identifier.urihttps://doi.org/10.2500/ajra.2009.23.3403
dc.identifier.urihttps://hdl.handle.net/11454/42689
dc.identifier.volume23en_US
dc.identifier.wosWOS:000207944400009en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherOcean Side Publications Incen_US
dc.relation.ispartofAmerican Journal of Rhinology & Allergyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAnatomic variationsen_US
dc.subjectanatomyen_US
dc.subjectcauterizationen_US
dc.subjectepistaxisen_US
dc.subjectposterior nasal bleedingen_US
dc.subjectsphenopalatine arteryen_US
dc.subjectsphenopalatine foramenen_US
dc.subjectvariationsen_US
dc.titleAnatomic variations of sphenopalatine artery and minimally invasive surgical cauterization procedureen_US
dc.typeArticleen_US

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