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1 results

  • Non-sphenopalatine dominant arterial supply of the nasal cavity: an unusual anatomical variation

  • D Biswas, S K Ross, A Sama, A Thomas
  • Journal:
    The Journal of Laryngology & Otology / Volume 123 / Issue 6 / June 2009
    Published online by Cambridge University Press:
    25 June 2008, pp. 689-691
    Print publication:
    June 2009
  • Objective:

    We present a rare and clinically relevant anomaly of the sphenopalatine artery in relation to its blood supply of the nasal mucosa, with implications for the management of epistaxis.

    Method:

    Case report and review of the world literature, using Medline through Pub Med (1950–2005), EMBASE (1980–2005) and Ovid (1958–2005), searching for papers using a combination of terms including ‘spheno-palatine artery’, ‘anterior ethmoidal artery’ and ‘epistaxis’.

    Results:

    In the presented case of refractory epistaxis, endoscopic and subsequent endovascular management failed to identify a significant supply from the sphenopalatine arteries bilaterally. The main supply was found to be from the anterior ethmoidal arteries.

    Conclusion:

    After a detailed search, the authors failed to locate any similar case in the English literature.