{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T07:37:54Z","timestamp":1793086674677,"version":"4.5.0"},"reference-count":14,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2010,10,26]],"date-time":"2010-10-26T00:00:00Z","timestamp":1288051200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2011,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215110002173_sec1\"><jats:title>Background:<\/jats:title><jats:p>In some cases of epistaxis, anterior packing and\/or electrocoagulation are not sufficient and suturing is needed. However, standard suturing techniques are sometimes ineffective. This paper reports the use of a new kind of trans-septal mattress suture, based on regional vascular anatomy, in this clinical context.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215110002173_sec2\"><jats:title>Methods:<\/jats:title><jats:p>Four adult patients with haemorrhage in Little's area underwent standard suturing, but bleeding persisted. These patients were successfully treated with trans-septal mattress suturing, using four punctures around the haemorrhage site.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215110002173_sec3\"><jats:title>Results:<\/jats:title><jats:p>No relapses or complications were observed over a six-month follow-up period.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215110002173_sec4\"><jats:title>Conclusion:<\/jats:title><jats:p>In cases of persistent bleeding from Little's area, suturing should surround the bleeding area. The described suturing method is simple, efficacious and cheap.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215110002173","type":"journal-article","created":{"date-parts":[[2010,10,26]],"date-time":"2010-10-26T10:28:48Z","timestamp":1288088928000},"page":"399-401","source":"Crossref","is-referenced-by-count":5,"title":["Use of trans-septal mattress suture of Little's area for anterior epistaxis"],"prefix":"10.1017","volume":"125","author":[{"given":"S K","family":"Nitek","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Wysocki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C S","family":"Niszczota","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2010,10,26]]},"reference":[{"key":"S0022215110002173_ref14","doi-asserted-by":"publisher","DOI":"10.1177\/000348947007900306"},{"key":"S0022215110002173_ref10","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215109004526"},{"key":"S0022215110002173_ref5","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198703000-00014"},{"key":"S0022215110002173_ref13","first-page":"572","volume-title":"Gray's Anatomy","author":"Standring","year":"2005"},{"key":"S0022215110002173_ref7","doi-asserted-by":"crossref","DOI":"10.1177\/014556130007900912","article-title":"A new ligation approach to the management of chronic epistaxis","volume":"79","author":"Adornato","year":"2000","journal-title":"Ear Nose Throat J"},{"key":"S0022215110002173_ref8","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2000.107685"},{"key":"S0022215110002173_ref9","article-title":"Are we all stupid?","volume":"80","author":"Cantor","year":"2001","journal-title":"Ear Nose Throat J"},{"key":"S0022215110002173_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2004.12.014"},{"key":"S0022215110002173_ref3","first-page":"944","article-title":"Submucosal Tissucol injections in recurrent epistaxis [in French]","volume":"79","author":"Barsan","year":"1990","journal-title":"Schweiz Rundsch Med Prax"},{"key":"S0022215110002173_ref4","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2273.1986.tb00139.x"},{"key":"S0022215110002173_ref2","doi-asserted-by":"publisher","DOI":"10.1017\/S002221510008004X"},{"key":"S0022215110002173_ref6","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100078749"},{"key":"S0022215110002173_ref12","doi-asserted-by":"publisher","DOI":"10.1177\/000348946907800418"},{"key":"S0022215110002173_ref11","doi-asserted-by":"publisher","DOI":"10.3109\/00016487409126374"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215110002173","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,6,5]],"date-time":"2019-06-05T22:09:59Z","timestamp":1559772599000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215110002173\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,10,26]]},"references-count":14,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2011,4]]}},"alternative-id":["S0022215110002173"],"URL":"https:\/\/doi.org\/10.1017\/s0022215110002173","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[2010,10,26]]}}}