Surgical Anatomy of the Sphenopalatine Artery in Lateral Nasal Wall

作者: Hye Yeon Lee , Hyun-Ung Kim , Sung-Shik Kim , Eun Jin Son , Ji Woo Kim

DOI: 10.1097/00005537-200210000-00020

关键词: Sphenopalatine arterySphenopalatine foramenSurgeryPosterior lateral nasal arteriesEthmoidectomyAnatomyMaxillary sinusPalatine boneEnd arteryNasal septumMedicine

摘要: Objective We investigated the surgical anatomy of sphenopalatine artery. First, location foramen on lateral nasal wall and pattern main branches artery from were studied. Second, course posterior with respect to maxillary sinus, perpendicular plate palatine bone, distribution its fontanelle was determined. Third, inferior turbinate analyzed. Study Design Fifty midsagittal sections randomly selected Korean adult cadaver heads intact sphenoid sinus surrounding structures used in study. Methods The mucosa removed a microscissors, fine forceps, pick expose under an operating microscope (original magnification ×6). Results feeding vessels superior septal 36 cases (72%). middle branch originated proximal portion just after exiting 44 (88%). Some ran anterior 38%. major arteries 25 (50%). In most cases, end (98%). Conclusions study provides detailed information concerning artery, which we hope will help explain arterial bleeding that may occur during ethmoidectomy, meatal antrostomy, conchotomy, endoscopic ligation

参考文章(7)
P. M. Stell, Johannes Lang, Clinical anatomy of the nose, nasal cavity, and paranasal sinuses Thieme , Thieme Medical Publications. ,(1989)
Nigel Padgham, Richard Vaughan-Jones, Cadaver Studies of the Anatomy of Arterial Supply to the Inferior Turbinates Journal of the Royal Society of Medicine. ,vol. 84, pp. 728- 730 ,(1991) , 10.1177/014107689108401212
Joo-Heon Yoon, Sung-Shik Kim, Kyung-Su Kim, Jeung-Gweon Lee, Creation of large maxillary sinus ostium: a modified antrostomy technique removing palatine bone for improved patency. Laryngoscope. ,vol. 109, pp. 672- 675 ,(1999) , 10.1097/00005537-199904000-00031
William E. Bolger, Roderick G. Borgie, Patrick Melder, The role of the crista ethmoidalis in endoscopic sphenopalatine artery ligation. American Journal of Rhinology. ,vol. 13, pp. 81- 86 ,(1999) , 10.2500/105065899782106814
Daniela Curti Thomé, Patsy Priscilla Vasquez Iturralde, Ossamu Butugan, Richard Louis Voegels, Endoscopic ligature of the sphenopalatine artery for severe posterior epistaxis Otolaryngology-Head and Neck Surgery. ,vol. 124, pp. 464- 467 ,(2001) , 10.1067/MHN.2001.113512
Ahmed El-Guindy, Endoscopic transseptal sphenopalatine artery ligation for intractable posterior epistaxis. Annals of Otology, Rhinology, and Laryngology. ,vol. 107, pp. 1033- 1037 ,(1998) , 10.1177/000348949810701207
Michael J. Wareing, Nigel D. Padgham, Osteologic Classification of the Sphenopalatine Foramen Laryngoscope. ,vol. 108, pp. 125- 127 ,(1998) , 10.1097/00005537-199801000-00024