Service d'ORL et de Chirurgie Cervico-Faciale, Hôpitaux Universitaires de Strasbourg, Hôpital de Hautepierre, 1, avenue Molière, 67200 Strasbourg, France; Unité Inserm 1121 Biomatériaux et Bioingénierie, CRBS, 1, rue Eugène Boeckel, 67000 Strasbourg, France.
Service d'ORL et de Chirurgie Cervico-Faciale, Hôpitaux Universitaires de Strasbourg, Hôpital de Hautepierre, 1, avenue Molière, 67200 Strasbourg, France.
Eur Ann Otorhinolaryngol Head Neck Dis. 2023 Jan;140(1):46-48. doi: 10.1016/j.anorl.2022.06.001. Epub 2022 Jul 14.
Recurrence of epistaxis after ligation or embolization of the sphenopalatine artery may require ligation of the ipsilateral anterior ethmoidal artery, which cannot be embolized because of the risk to the ophthalmic artery. We describe a transconjunctival transcaruncular approach that allows reliable low-risk access to the anterior ethmoidal artery. This technique offers a minimally invasive approach to the surgical site, without unsightly scar.
结扎或栓塞蝶腭动脉后鼻出血复发时,可能需要结扎同侧筛前动脉,但由于有眶动脉的风险,不能进行栓塞。我们描述了一种经结膜经泪囊的入路,可安全可靠地进入筛前动脉。该技术为手术部位提供了微创入路,且不会留下难看的疤痕。