Endoscopic Control of Epistaxis

Survey

Indications:

  • To control epistaxis

Highlights:

  • Specific bleeding sites are identified with the use of an endoscope.
  • Suction monopolar cautery, bipolar cautery and/or vascular clip may be useful in order to control the bleeding depending on the type and location of epistaxis.

Keep in Mind/Things to Remember:

  • Extensive cauterization of septum may lead to perforation.
  • Expose 5 mm-10 mm of proximal sphenopalatine artery within its bony canal prior to clip placement and/or bipolar cauterization.