Nitek S K, Wysocki J, Niszczota C S
Department of Normal and Clinical Anatomy, Medical University of Warsaw, Poland.
J Laryngol Otol. 2011 Apr;125(4):399-401. doi: 10.1017/S0022215110002173. Epub 2010 Oct 26.
In some cases of epistaxis, anterior packing and/or electrocoagulation are not sufficient and suturing is needed. However, standard suturing techniques are sometimes ineffective. This paper reports the use of a new kind of trans-septal mattress suture, based on regional vascular anatomy, in this clinical context.
Four adult patients with haemorrhage in Little's area underwent standard suturing, but bleeding persisted. These patients were successfully treated with trans-septal mattress suturing, using four punctures around the haemorrhage site.
No relapses or complications were observed over a six-month follow-up period.
In cases of persistent bleeding from Little's area, suturing should surround the bleeding area. The described suturing method is simple, efficacious and cheap.
在某些鼻出血病例中，前鼻孔填塞和/或电凝并不充分，需要进行缝合。然而，标准的缝合技术有时并不奏效。本文报道了在这种临床情况下，基于局部血管解剖结构使用一种新型鼻中隔褥式缝合的情况。
4例利特尔区出血的成年患者接受了标准缝合，但出血仍持续。这些患者通过在出血部位周围进行四处穿刺，采用鼻中隔褥式缝合成功治愈。
在为期6个月的随访期内未观察到复发或并发症。
对于利特尔区持续出血的病例，缝合应环绕出血区域。所描述的缝合方法简单、有效且成本低廉。
