Severe Superior Epistaxis Controlled by Clipping the Anterior Ethmoidal Artery : Report of a Case
The case of a 40-year-old woman in whom severe superior epistaxis was controlled by clipping the left anterior ethmoidal artery is reported. The patient suddenly developed an uncontrolled epistaxis, and was brought to our hospital by ambulance. Though a Bellocq's tampon was left in place for seven days, severe superior epistaxis recurred. Therefore the left anterior ethmoidal artery was clipped with self-locking hemostatic clips using an external ethmoid incision under local anesthesia, after which the symptom became inactive. Based on this experience, hemostasis of epistaxis in our division with special reference to clipping of the anterior ethmoidal artery is discussed.