Anatomical and surgical study of the sphenopalatine artery branches
| Autor: | Rosa Mirapeix-Lucas, Juan R. Gras-Cabrerizo, Humbert Massegur-Solench, Francisco Sánchez del Campo, Juan R. Gras-Albert, Joan M. Ademá-Alcover, Katarzyna Kolanczak, Joan R. Montserrat-Gili |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent medicine.medical_treatment Cautery Sphenopalatine artery Cohort Studies Young Adult medicine.artery Cadaver medicine Foramen Humans Posterior lateral nasal arteries Ligature Ligation Aged Nasal Septum Aged 80 and over Arterial trunk business.industry Dissection Endoscopy Posterior septal artery General Medicine Anatomy Middle Aged Trunk Posterior lateral nasal artery Surgery Treatment Outcome Epistaxis medicine.anatomical_structure Otorhinolaryngology Endonasal endoscopic surgery Cauterization Female Sphenopalatine foramen Nasal Cavity business |
| Zdroj: | EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau instname |
| ISSN: | 1434-4726 0937-4477 |
| DOI: | 10.1007/s00405-013-2825-1 |
| Popis: | The sphenopalatine artery gives off two main branches: the posterior lateral nasal branch and the posterior septal branch. From 2007 to 2012 17 patients were treated with cauterization and/or ligature of the sphenopalatine artery with endonasal endoscopic approach. 90 nasal dissections were performed in 45 adult cadaveric heads. We evaluated the number of branches emerging from the sphenopalatine foramen and the presence of an accessory foramen. In the surgery group, we observed a single trunk in 76 % of the patients (13/17) and a double trunk in 24 % (4/17). We found an accessory foramen in four cases. We obtained a successful result in bleeding control in 88 % of the cases. In the cadaver dissection group, 55 nasal cavities had a single arterial trunk (61 %), 30 had 2 arterial trunks (33 %) and in only 5 nasal fossae we observed 3 arterial trunks (6 %). We were able to dissect four accessory foramina. We suggest that in most cases only one or two branches are found in the sphenopalatine foramen. |
| Databáze: | OpenAIRE |
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