Simpson G T, Janfaza P, Becker G D
Laryngoscope. 1982 Sep;92(9 Pt 1):1001-5.
Posterior epistaxis from branches of the sphenopalatine artery can be rapidly and effectively controlled by a new ligation technique. The sphenopalatine artery or its branches are directly ligated as they exit the sphenopalatine foramen to enter the nose, completely avoiding the pterygomaxillary fossa. The vessels are exposed via a transantral approach, through the posterior portion of the medial antral wall. The mucoperiosteum of the lateral wall of the nose (medial antral wall) is preserved, elevated medially and posteriorly and used to tense the sphenopalatine vessels, bringing them into view and accessible for ligation at the foramen. Advantages of this technique include direct, specific ligation of the end vessels; ease and speed of operation; and avoidance of complications associated with the pterygomaxillary space. The technique was defined in multiple dissections of anatomic specimens and has been successful to date in 14 cases of severe posterior epistaxis.
一种新的结扎技术能够快速有效地控制来自蝶腭动脉分支的鼻后出血。蝶腭动脉或其分支在离开蝶腭孔进入鼻腔时被直接结扎，完全避开翼腭窝。通过经窦入路，经上颌窦内侧壁后部暴露血管。保留鼻外侧壁（上颌窦内侧壁）的黏骨膜，向内侧和后方掀起并用于拉紧蝶腭血管，使其显露并便于在蝶腭孔处进行结扎。该技术的优点包括直接、特异性地结扎终末血管；操作简便快捷；避免与翼腭间隙相关的并发症。该技术在解剖标本的多次解剖中得以明确，迄今为止已成功应用于14例严重鼻后出血病例。
