[Skip to Navigation]
August 1955

Ligation of Both External Carotid Arteries for Control of Epistaxis

Author Affiliations

Rochester, Minn.
Fellow in Otology, Laryngology and Rhinology, Mayo Foundation (Dr. Kuhn). From Section of Otolaryngology and Rhinology, Mayo Clinic and Mayo Foundation (Dr. Hallberg). The Mayo Foundation, Rochester, Minn., is a part of the Graduate School of the University of Minnesota.

AMA Arch Otolaryngol. 1955;62(2):130-133. doi:10.1001/archotol.1955.03830020012002

Epistaxis is of such common occurrence that few persons pass through life without experiencing it. However, it may vary in severity from an insignificant to an exsanguinating volume.

The majority of nosebleeds probably require no medical care, and indeed are not brought to the attention of a physician. Of those that the physician does see, only a small proportion require more than simple measures for control. No accurate information is available on what proportion of nosebleeds seen by the physician are "severe," that is, require hospitalization, but it is estimated at less than 10%. The treatment of hospitalized patients who have nosebleed has been adequately presented elsewhere. Of Hallberg's series1. of 212 such patients, 8.0% required arterial ligation for control. In Ogura and Senturia's series2 of 136 hospitalized patients, including 48 children whose bleeding was in Little's area, 2.9% required arterial ligation (4.5% of the adults). In these

Add or change institution