内視鏡下蝶口蓋動脈凝固術の有効性
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概要
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Although non-surgical control of epistaxis by nasal packing is effective in many cases, the otolaryngologist may see some case of posterior epistaxis that become intractable and require repeated nasal packing. Between 2006 april and 2010 march, 12 patients with intractable posterior epistaxis -8 men and 4 women-were treated by endoscopic sphenopalatine artery coagulation with a harmonic scalpel at Yamagata university hospital and Yamagata Prefectural Central Hospital. Only one patient had subsequent epistaxis from Kiesselbach's plexus, 7 months postoperatively. Only one patient had a postoperative complication (acute sinusitis). Endoscopic coagulation may thus be appropriate for treating severe recurrent epistaxis refractory to repeated nasal packing.
- 日本鼻科学会の論文
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