双侧蝶腭动脉结扎术后鼻中隔穿孔及双侧部分中鼻甲坏死
Septal perforation and bilateral partial middle turbinate necrosis after bilateral sphenopalatine artery ligation.
作者信息
Elsheikh E, El-Anwar M W
机构信息
Otolaryngology - Head and Neck Surgery Department, Faculty of Medicine, Zagazig University, Egypt.
出版信息
J Laryngol Otol. 2013 Oct;127(10):1025-7. doi: 10.1017/S0022215113001904. Epub 2013 Sep 4.
OBJECTIVE
To report previously unreported complications of bilateral sphenopalatine artery ligation.
SUBJECTS AND METHODS
We present the case of a 45-year-old man who underwent bilateral sphenopalatine artery ligation to control intractable posterior epistaxis. After four months, he re-presented with nasal obstruction and crusting.
RESULTS AND ANALYSIS
Examination under general anaesthesia showed posterior septal perforation and bilateral necrosis of the lower parts of the middle turbinates. The necrotic parts were excised. The patient had no more complaints.
CONCLUSION
Following sphenopalatine artery occlusion, ischaemic necrosis is a potential risk in anatomical areas that receive their only arterial supply from this artery. The staging of bilateral sphenopalatine artery occlusion needs to be studied.
目的
报告双侧蝶腭动脉结扎术此前未被报道的并发症。
对象与方法
我们呈现了一名45岁男性的病例，该患者接受双侧蝶腭动脉结扎术以控制难治性鼻后出血。四个月后，他再次出现鼻塞和结痂症状。
结果与分析
全身麻醉下的检查显示鼻中隔后穿孔以及双侧中鼻甲下部坏死。切除了坏死部分。患者此后无更多不适主诉。
结论
蝶腭动脉闭塞后，在仅从此动脉获得唯一动脉血供的解剖区域，缺血性坏死是一种潜在风险。双侧蝶腭动脉闭塞的分期需要进行研究。
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