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May 1949

EPISTAXIS: Report of a Case of Ligation of the External Carotid and Anterior Ethmoid Arteries

Author Affiliations

Senior Resident, Department of Otolaryngology, University of Virginia Hospital CHARLOTTESVILLE, VA.

Arch Otolaryngol. 1949;49(5):564-565. doi:10.1001/archotol.1949.03760110120010

IN THE past ten years many patients with epistaxis secondary to various conditions have been treated in the department of otolaryngology at the University of Virginia Hospital. The external carotid and anterior ethmoid arteries have been ligated in individual patients, but not until this incident had both been ligated in the same patient to control nasal hemorrhage.

According to Schaeffer,1 the main intranasal blood supply is from the sphenopalatine artery. The ethmoid and palatine arteries, in addition, contribute to the vascularization of the nose to a lesser degree. From these facts, it is reasonable to assume that in the majority of cases severe epistaxis would be controlled by ligation of the external carotid artery.

The case which we report is that of a patient suffering from severe epistaxis, with hypertension and arteriosclerosis being the causative factors. The external carotid artery was first ligated, after the usual local measures were

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