What is endoscopic sphenopalatine artery ligation?
What is endoscopic sphenopalatine artery ligation?
Background: Endoscopic sphenopalatine artery ligation (ESPAL) is the intervention of choice for refractory epistaxis in specialist ear, nose and throat (ENT)units and should be within the repertoire of competencies for all ENT trainees.
What is artery ligation?
With a blood vessel the surgeon will clamp the vessel perpendicular to the axis of the artery or vein with a hemostat, then secure it by ligating it; i.e. using a piece of suture around it before dividing the structure and releasing the hemostat.
What is a spa ligation?
SPA ligation is generally indicated for intractable posterior epistaxis that does not settle following 24hrs of adequate anterior and posterior nasal packing, and for recur- rent unilateral epistaxis unrelated to an underlying systemic disease or a drug rela- ted blood dyscrasia.
How do you Spgate the sphenopalatine artery?
An incision is made just posterior to the posterior attachment of the middle turbinate. The mucosal flap is then carefully elevated to reveal the sphenopalatine artery, which is then clipped and ligated.
What is Hypogastric artery ligation?
In trauma patients with pelvic fractures, the hypogastric arteries are ligated or embolized to control bleeding from the wall plexus. During oncologic surgery, the hypogastric arteries are ligated or embolized to limit operative blood loss or preoperatively to shrink some pelvic tumors.
Which artery is known as artery of epistaxis?
Sphenopalatine artery
The sphenopalatine artery (nasopalatine artery) is an artery of the head, commonly known as the artery of epistaxis….
| Sphenopalatine artery | |
|---|---|
| Source | maxillary artery |
| Branches | posterior lateral nasal branches posterior septal branches |
| Supplies | frontal, maxillary, ethmoidal, and sphenoidal sinuses |
| Identifiers |
What is the sphenopalatine artery?
The sphenopalatine artery is a terminal branch of the internal maxillary artery originating from the external carotid artery system. [4] The SPA is the major blood vessel to the nasal cavity mucosa: supplying the superior, middle, and inferior turbinate; lateral nasal wall; and nasal septum.
How do you find the sphenopalatine artery?
The location of the sphenopalatine foramen (SPF) is identified within the superior meatus after elevation of a mucoperiosteal flap and identification of the crista ethmoidalis from the posterior aspect of the middle meatus. Opening the maxillary sinus may assist the surgeon if these landmarks are not quickly found.
What is CPT code 31296?
The Current Procedural Terminology (CPT) code 31296 as maintained by American Medical Association, is a medical procedural code under the range – Endoscopy Procedures on the Accessory Sinuses.
What is CPT 31255?
CPT 31255, Under Endoscopy Procedures on the Accessory Sinuses. The Current Procedural Terminology (CPT) code 31255 as maintained by American Medical Association, is a medical procedural code under the range – Endoscopy Procedures on the Accessory Sinuses.
What is carotid artery ligation?
A ligation is a carotid artery surgery that is conducted if the dissection is extreme, or out of hand. The dissection of the carotid artery can be painful and can also become quite grave, if corrective measures are not taken on time.
