{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T12:45:07Z","timestamp":1761741907101,"version":"build-2065373602"},"reference-count":8,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2016,9,1]],"date-time":"2016-09-01T00:00:00Z","timestamp":1472688000000},"content-version":"vor","delay-in-days":5632,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2001,4]]},"abstract":"<jats:sec><jats:title>OBJECTIVE<\/jats:title><jats:p>To present our experience with endoscopic ligature of the sphenopalatine artery in the treatment of severe posterior epistaxis of patients who had previously undergone conservative procedures.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>Eleven patients with severe posterior epistaxis were treated during a 25\u2010month period with an endoscopic ligature of the sphenopalatine artery. The basic principle of the surgical technique is to identify the branches of the sphenopalatine artery through an endoscopic endonasal approach and to apply a titanium clip under direct vision.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>The endoscopic ligature of the sphenopalatine artery was performed unilaterally in 10 patients and bilaterally in 1 patient, with a total of 12 ligatures. It was possible to identify the sphenopalatine artery in all cases with a successful outcome using this surgical technique alone.<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSION<\/jats:title><jats:p>Endonasal endoscopic ligature of the sphenopalatine artery has been an effective surgical technique for treating severe posterior epistaxis.<\/jats:p><\/jats:sec>","DOI":"10.1067\/mhn.2001.113512","type":"journal-article","created":{"date-parts":[[2003,2,4]],"date-time":"2003-02-04T21:49:09Z","timestamp":1044395349000},"page":"464-467","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":47,"title":["Endoscopic Ligature of the Sphenopalatine Artery for Severe Posterior Epistaxis"],"prefix":"10.1002","volume":"124","author":[{"given":"Richard Louis","family":"Voegels","sequence":"first","affiliation":[{"name":"Department of Otolaryngology University of S\u00e3o Paulo Medical School S\u00e3 Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela Curti","family":"Thom\u00e9","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology University of S\u00e3o Paulo Medical School S\u00e3 Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patsy Priscilla Vasquez","family":"Iturralde","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology University of S\u00e3o Paulo Medical School S\u00e3 Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ossamu","family":"Butugan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology University of S\u00e3o Paulo Medical School S\u00e3 Paulo Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,9]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005537-199701000-00007"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100139301"},{"key":"e_1_2_5_4_1","unstructured":"PradesJ.Abord endonasal de la fosse pterygo\u2010maxillaire.LXXIII Cong Franc Compt Rendus des Seanc1976;290\u20136."},{"key":"e_1_2_5_5_1","first-page":"141","article-title":"Recurrent epistaxis: Microscopic endonasal clipping of the sphenopalatine artery","volume":"25","author":"Sulsenti G","year":"1987","journal-title":"Rhinology"},{"key":"e_1_2_5_6_1","doi-asserted-by":"crossref","unstructured":"BudrovichM SaettiR.Microscopic and endoscopic ligature of the sphenopalatine artery.Laryngoscope1992;1390\u20134.","DOI":"10.1288\/00005537-199212000-00016"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198209000-00009"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1992.01880090082021"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100132657"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1067\/mhn.2001.113512","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1067\/mhn.2001.113512","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1067\/mhn.2001.113512","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T11:26:42Z","timestamp":1760959602000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1067\/mhn.2001.113512"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2001,4]]},"references-count":8,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2001,4]]}},"alternative-id":["10.1067\/mhn.2001.113512"],"URL":"https:\/\/doi.org\/10.1067\/mhn.2001.113512","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"type":"print","value":"0194-5998"},{"type":"electronic","value":"1097-6817"}],"subject":[],"published":{"date-parts":[[2001,4]]},"assertion":[{"value":"2016-09-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}