鼻出血に対する顎動脈結紮術

概要

論文の詳細を見る
Ligation of the external carotid artery has traditionally been indicated for recurrent and copious epistaxis which can not be controlled by nasal or postnasal packings. The above procedure can be substituted by ligation of the maxillary artery in most cases. In this report, the anatomy of the pterygopalatine fossa and the method of ligation of the maxillary artery are described for practical purposes. There have been a number of methods for treating epistaxis. These are bibliographically reviewed in the discussion. Both the advantages and drawbacks of the ligation of the maxillary artery are also discussed. Because of its ease and effect, more extensive employment of the ligation of the maxillary artery is expected hereafter for treatment of epistaxis as one of the standard methods.