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Use of trans-septal mattress suture of Little's area for anterior epistaxis

Published online by Cambridge University Press:  26 October 2010

S K Nitek*
Affiliation:
Department of Normal and Clinical Anatomy, Medical University of Warsaw, Poland
J Wysocki
Affiliation:
Otolaryngology and Rehabilitation Clinic, Medical University of Warsaw, Poland
C S Niszczota
Affiliation:
Department of Normal and Clinical Anatomy, Medical University of Warsaw, Poland
*
Address for correspondence: Dr Stanisław Nitek, Department of Normal and Clinical Anatomy, Medical University of Warsaw, 02-004 Warsaw, Chałubińskiego 5, Poland E-mail: [email protected]

Abstract

Background:

In some cases of epistaxis, anterior packing and/or electrocoagulation are not sufficient and suturing is needed. However, standard suturing techniques are sometimes ineffective. This paper reports the use of a new kind of trans-septal mattress suture, based on regional vascular anatomy, in this clinical context.

Methods:

Four adult patients with haemorrhage in Little's area underwent standard suturing, but bleeding persisted. These patients were successfully treated with trans-septal mattress suturing, using four punctures around the haemorrhage site.

Results:

No relapses or complications were observed over a six-month follow-up period.

Conclusion:

In cases of persistent bleeding from Little's area, suturing should surround the bleeding area. The described suturing method is simple, efficacious and cheap.

Type
Short Communications
Copyright
Copyright © JLO (1984) Limited 2010

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