About Video

This video demonstrates the endoscopic management of sphenopalatoine artery bleeding. After infiltrating into the greater palatine foramen, a mucoperiosteal flap is elevated on the lateral nasal wall, and the vascular sphenopalatine bundle is identified and controlled with vascular clips. The bony crest forming a landmark for the anterior part of the foramen should be identified. The vessels should be correctly identified prior to application of the vascular clips. All branches exiting should also be identified as far as possible. A successful procedure will often not even require postoperative nasal packing; however, some authors still prefer to do the same for some time as a safety measure and also to reposit the elevated mucosal flap back into position.