The authors report the case of a 69-year-old woman suffering from paroxysmal hemicrania (PH), intolerant to indomethacin and resistant to multiple therapies, in which sphenopalatine endoscopic ganglion block (SPG) dramatically modified the clinical outcome. SPG blockade could be considered a reasonable alternative in drug-resistant PH cases where indomethacin is contraindicated.
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http://dx.doi.org/10.1111/j.1468-2982.2009.01882.x | DOI Listing |
J Neurol Surg B Skull Base
February 2025
Department of Otolaryngology - Head and Neck Surgery, Stanford University School of Medicine, Stanford, California, United States.
Transpterygoid approaches to the skull base require dissection of the sphenopalatine artery, potentially compromising the option to harvest an ipsilateral nasoseptal flap (NSF) for reconstruction. In cases where other reconstructive options are limited, it may be necessary to utilize a NSF ipsilateral to the transpterygoid approach. Here, we describe the technique of NSF pedicle preservation with reconstruction outcomes.
View Article and Find Full Text PDFTurk Arch Otorhinolaryngol
January 2025
Tribhuvan University Teaching Hospital, Institute of Medicine, Department of Otorhinolaryngology-Head and Neck Surgery, Kathmandu, Nepal.
Objective: To assess the tolerability and efficacy of endoscopic sphenopalatine artery cauterization (ESPAC) under local anesthesia (LA) in managing posterior epistaxis.
Methods: It was a prospective, cohort study, conducted in the Otorhinolaryngology Department of a tertiary-level hospital. Patients aged 18 years or above with posterior epistaxis who underwent ESPAC under LA were included.
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
November 2024
Department of Otolaryngology Head and Neck Surgery, Xiangya Hospital, Central South University, Key Laboratory of Otolaryngology Major Diseases in Hunan Province, Changsha410008, China.
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi
November 2024
ENT institute and Department of Otolaryngology, Eye & ENT Hospital, Fudan University, Shanghai200031, China Research Units of New Technologies of Endoscopic Surgery in Skull Base Tumor, Shanghai200031, China.
To investigate the distribution and primary drainage sites of the venous drainage system in the pedicled nasal septal mucosal flap, as well as to examine protective measures for the venous system of the nasal septal mucosal flap and its application in repairing the nasal skull base through the anatomical study of the nasal septum mucosal venous system in cadavers. Gross anatomy dissections were performed on 13 sides perfused fresh frozen cadaveric head specimens. The nasal septum mucosal flap was separated along the perichondrium and subperiosteum, then passed across the vomer, anterior wall of sphenoid sinus, clivus, and towards the anterior edge of vertical plate of palatine bone.
View Article and Find Full Text PDFActa Otolaryngol
December 2024
Department of Otolaryngology Head and Neck Surgery, The First Hospital of Anhui University of Science & Technology, Huainan, China.
Background: Endoscopic sphenopalatine artery cauterization (ESPAC) has become an important method to manage posterior epistaxis.
Aims/objectives: To investigate the application of plasma knife and lateral nasal wall incision in ESPAC in the treatment of posterior epistaxis.
Material And Methods: A retrospective study of 32 cases who underwent ESPAC for epistaxis was conducted.
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