Abstract

Background: Endoscopic sphenopalatine artery cauterization (ESFC) at the main trunk improves hemostasis, shortens operative time, and lowers recurrence in posterior epistaxis. This study evaluate clinical features and outcomes of posterior epistaxis managed with ESFC.

Methods: A case series of 31 patients with recurrent posterior epistaxis underwent endoscopic bipolar cauterization of the sphenopalatine artery at Hue University of Medicine and Pharmacy Hospital.

Results: Mean age was 50.1 years, 71% were male. All had ≥2 bleeding episodes, 48.4% had prior anterior packing. Mean operative time was 72 minutes, septoplasty was performed in 19.4%. Complete exposure of the sphenopalatine foramen was achieved in all cases, 6.5% had an accessory foramen. The SPA bifurcated in 83.9%. At one month, hemostasis was achieved in 93.5%, recurrence in 6.5%. Complications included acute rhinosinusitis (12.9%), facial pain (6.5%), and palatal numbness (3.2%).

Conclusion: ESFC is a safe, effective, and minimally invasive option for recurrent posterior epistaxis with high success and low morbidity.