{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T16:39:52Z","timestamp":1791477592043,"version":"4.3.4"},"reference-count":26,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2015,11,24]],"date-time":"2015-11-24T00:00:00Z","timestamp":1448323200000},"content-version":"vor","delay-in-days":0,"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":[[2016,3]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>Sphenopalatine artery ligation is a commonly employed surgical intervention for control of posterior epistaxis unresponsive to nasal packing. The objective of the present study was to evaluate the outcome of sphenopalatine artery ligation for control of epistaxis at our institution and the impact of timing and other factors on outcome.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Case series with chart review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Academic tertiary referral center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subjects and Methods<\/jats:title><jats:p>Case notes were reviewed for 45 consecutive patients undergoing sphenopalatine artery ligation for control of epistaxis between October 2008 and October 2014.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty\u2010one patients had nasal packing prior to sphenopalatine artery ligation, with 33 undergoing \u22652 packings. Postoperatively, 6 patients had rebleeding, which was treated with repacking (n = 4) and return to the operating room (n = 2). The overall success rate of sphenopalatine artery ligation was 87% (39 of 45). Rebleeding rate was not affected by concomitant septoplasty, anterior ethmoidal artery ligation, or postoperative nasal packing. Patients undergoing SPA ligation within the first 24 hours of admission had a significantly shorter hospital length of stay (3 vs 6\u00a0days, <jats:italic>P<\/jats:italic> =. 02) and treatment cost (\u20ac5905 vs \u20ac10,001, <jats:italic>P<\/jats:italic> =. 03). Length of stay was not influenced by sphenopalatine artery ligation after \u22641\u00a0nasal pack versus \u22652 packs. Timing of sphenopalatine artery ligation did not affect blood transfusion requirement (<jats:italic>P<\/jats:italic> =. 84).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Sphenopalatine artery ligation is an effective management strategy for surgical control of refractory epistaxis. Early timing of sphenopalatine artery ligation may lead to reductions in length of stay.<\/jats:p><\/jats:sec>","DOI":"10.1177\/0194599815620134","type":"journal-article","created":{"date-parts":[[2015,11,24]],"date-time":"2015-11-24T23:09:30Z","timestamp":1448406570000},"page":"547-552","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":33,"title":["Sphenopalatine Artery Ligation for Epistaxis"],"prefix":"10.1002","volume":"154","author":[{"given":"Ailbhe M.","family":"McDermott","sequence":"first","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery South Infirmary Victoria University Hospital Cork Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eadaoin","family":"O\u2019Cathain","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery South Infirmary Victoria University Hospital Cork Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian William","family":"Carey","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery South Infirmary Victoria University Hospital Cork Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"O\u2019Sullivan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery South Infirmary Victoria University Hospital Cork Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Sheahan","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology, Head and Neck Surgery South Infirmary Victoria University Hospital Cork Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,11,24]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2273.1999.00311.x"},{"key":"e_1_2_8_3_1","first-page":"444","article-title":"Management of epistaxis: a national survey","volume":"78","author":"Kotecha B","year":"1996","journal-title":"Ann R Coll Surg Engl"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198712000-00003"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/019459989310900111"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-003-0618-7"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-199212000-00016"},{"key":"e_1_2_8_8_1","first-page":"305","article-title":"Persistent epistaxis: what is the best practice?","volume":"43","author":"Umapathy N","year":"2005","journal-title":"Rhinology"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2273.2003.00724.x"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2001.113512"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03008017"},{"key":"e_1_2_8_12_1","first-page":"147","article-title":"Endoscopic cauterization of the sphenopalatine artery to control severe and recurrent posterior epistaxis","volume":"25","author":"Gandomi B","year":"2013","journal-title":"Iran J Otorhinolaryngol"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.2500\/105065800779954455"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100139301"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2273.2000.00372.x"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-4486.2012.02499.x"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otorri.2010.11.005"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLG.0b013e318065b86f"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/1752-1947-1-125"},{"key":"e_1_2_8_20_1","first-page":"1947","article-title":"Anatomical and surgical study of the sphenopalatine artery branches","volume":"271","author":"Gras\u2010Cabrerizo JR","year":"2014","journal-title":"Eur Arch Otorhinolaryngol"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/000348940911800907"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-012-2318-7"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.2310\/7070.2004.00185"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/alr.21236"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2005.07.041"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2014.1450"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoto.2015.106"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599815620134","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1177\/0194599815620134","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1177\/0194599815620134","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T14:24:05Z","timestamp":1760970245000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1177\/0194599815620134"}},"subtitle":["Factors Influencing Outcome and Impact of Timing of Surgery"],"short-title":[],"issued":{"date-parts":[[2015,11,24]]},"references-count":26,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2016,3]]}},"alternative-id":["10.1177\/0194599815620134"],"URL":"https:\/\/doi.org\/10.1177\/0194599815620134","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,11,24]]},"assertion":[{"value":"2015-08-19","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-11-10","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2015-11-24","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}