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July 1955

EPISTAXIS: Control by Ligation of Anterior Ethmoidal Artery

Author Affiliations

Coral Gables, Fla.

AMA Arch Otolaryngol. 1955;62(1):84-89. doi:10.1001/archotol.1955.03830010086013

THE ATTENTION of the otolaryngologist has become more focused on the need in a severe case of intractable nasal hemorrhage of pinpointing the exact location of the hemorrhage, in order to obviate, if possible, the necessity of ligating arteries unnecessarily. To ligate an external carotid artery without avail, only to find that ligation of the anterior ethmoid artery caused the complete cessation of all bleeding, raises the question whether more careful elimination of the sources of bleeding would not have eliminated ligation of the external carotid in the first place. It goes without saying that all other methods of stanching nasal hemorrhage have been utilized. It is not my purpose to go into the numerous armamentaria of drops, packs, balloons, coagulants, styptics, sclerosing solutions, irradiation, transfusion, fulguration, and what not. This has been clearly and minutely detailed very well by Ogura and Senturia.1

When these fail, ligation of