The Experts below are selected from a list of 411 Experts worldwide ranked by ideXlab platform
E Nilssen - One of the best experts on this subject based on the ideXlab platform.
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contemporary surgical treatment of epistaxis what is the evidence for Sphenopalatine Artery ligation
Clinical Otolaryngology, 2003Co-Authors: S Kumar, A Shetty, J Rockey, E NilssenAbstract:Contemporary surgical treatment of epistaxis. What is the evidence for Sphenopalatine Artery ligation? The optimal surgical management for failed conservative measures in epistaxis remains unclear. Given the growing enthusiasm for endoscopic transnasal Sphenopalatine Artery ligation, it is prudent and timely to evaluate the evidence base for this technique. This study aims to analyse the current evidence for transnasal endoscopic Sphenopalatine Artery ligation by reviewing the literature and also by comparing the results with other approaches to the management of epistaxis. A detailed literature search identified 11 publications relating to endoscopic Sphenopalatine Artery ligation. The total number of patients in the pooled series was 127, of which 98% had control of epistaxis following surgery. These results compared favourably to the results of most other techniques used in the modern treatment of epistaxis. Nonetheless, the total number of patients in the 11 case series is small. It is therefore recommended that all units using this technique audit their results to see if the high success rates achieved in the literature are reproducible. If this is the case, then endoscopic Sphenopalatine Artery ligation may indeed be the surgical answer to intractable posterior epistaxis.
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contemporary surgical treatment of epistaxis what is the evidence for Sphenopalatine Artery ligation
Clinical Otolaryngology, 2003Co-Authors: S Kumar, A Shetty, J Rockey, E NilssenAbstract:The optimal surgical management for failed conservative measures in epistaxis remains unclear. Given the growing enthusiasm for endoscopic transnasal Sphenopalatine Artery ligation, it is prudent and timely to evaluate the evidence base for this technique. This study aims to analyse the current evidence for transnasal endoscopic Sphenopalatine Artery ligation by reviewing the literature and also by comparing the results with other approaches to the management of epistaxis. A detailed literature search identified 11 publications relating to endoscopic Sphenopalatine Artery ligation. The total number of patients in the pooled series was 127, of which 98% had control of epistaxis following surgery. These results compared favourably to the results of most other techniques used in the modern treatment of epistaxis. Nonetheless, the total number of patients in the 11 case series is small. It is therefore recommended that all units using this technique audit their results to see if the high success rates achieved in the literature are reproducible. If this is the case, then endoscopic Sphenopalatine Artery ligation may indeed be the surgical answer to intractable posterior epistaxis.
S Kumar - One of the best experts on this subject based on the ideXlab platform.
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contemporary surgical treatment of epistaxis what is the evidence for Sphenopalatine Artery ligation
Clinical Otolaryngology, 2003Co-Authors: S Kumar, A Shetty, J Rockey, E NilssenAbstract:Contemporary surgical treatment of epistaxis. What is the evidence for Sphenopalatine Artery ligation? The optimal surgical management for failed conservative measures in epistaxis remains unclear. Given the growing enthusiasm for endoscopic transnasal Sphenopalatine Artery ligation, it is prudent and timely to evaluate the evidence base for this technique. This study aims to analyse the current evidence for transnasal endoscopic Sphenopalatine Artery ligation by reviewing the literature and also by comparing the results with other approaches to the management of epistaxis. A detailed literature search identified 11 publications relating to endoscopic Sphenopalatine Artery ligation. The total number of patients in the pooled series was 127, of which 98% had control of epistaxis following surgery. These results compared favourably to the results of most other techniques used in the modern treatment of epistaxis. Nonetheless, the total number of patients in the 11 case series is small. It is therefore recommended that all units using this technique audit their results to see if the high success rates achieved in the literature are reproducible. If this is the case, then endoscopic Sphenopalatine Artery ligation may indeed be the surgical answer to intractable posterior epistaxis.
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contemporary surgical treatment of epistaxis what is the evidence for Sphenopalatine Artery ligation
Clinical Otolaryngology, 2003Co-Authors: S Kumar, A Shetty, J Rockey, E NilssenAbstract:The optimal surgical management for failed conservative measures in epistaxis remains unclear. Given the growing enthusiasm for endoscopic transnasal Sphenopalatine Artery ligation, it is prudent and timely to evaluate the evidence base for this technique. This study aims to analyse the current evidence for transnasal endoscopic Sphenopalatine Artery ligation by reviewing the literature and also by comparing the results with other approaches to the management of epistaxis. A detailed literature search identified 11 publications relating to endoscopic Sphenopalatine Artery ligation. The total number of patients in the pooled series was 127, of which 98% had control of epistaxis following surgery. These results compared favourably to the results of most other techniques used in the modern treatment of epistaxis. Nonetheless, the total number of patients in the 11 case series is small. It is therefore recommended that all units using this technique audit their results to see if the high success rates achieved in the literature are reproducible. If this is the case, then endoscopic Sphenopalatine Artery ligation may indeed be the surgical answer to intractable posterior epistaxis.
G De Bonnecaze - One of the best experts on this subject based on the ideXlab platform.
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cost effectiveness of trans nasal endoscopic Sphenopalatine Artery ligation vs arterial embolisation for intractable epistaxis long term analyses
Clinical Otolaryngology, 2019Co-Authors: Nadege Costa, E Serrano, Michael Mounie, Geraldine Bernard, Laurent Bieler, Laurent Molinier, G De BonnecazeAbstract:Objectives Trans-nasal endoscopic Sphenopalatine Artery ligation (TESPAL) and endovascular arterial embolisation both provide excellent success rates for intractable epistaxis. Recent economic models suggest that TESPAL could be a cost-saving strategy. Our main aim was to perform cost-effectiveness analyses on TESPAL compared with embolisation to treat patients with epistaxis. Design We performed retrospective, monocentric, comparative analyses on patients referred to our centre and treated with embolisation or TESPAL. Setting This economic evaluation was carried out from a payer's perspective (ie French National Health Insurance) within a time horizon of 12 months. Participants Thirty-seven TESPAL procedures and thirty-nine embolisation procedures to treat intractable epistaxis were used in the analyses. Main outcome measures The primary outcome is presented as the cost per 1% of non-recurrence. Effectiveness was defined as avoiding recurrence of epistaxis during the 1-year follow-up. Cost estimates were performed from the payer's perspective. Results Hospitalisation costs were higher for embolisation compared with TESPAL (5972 vs 3769 euros). On average, hospitalisation costs decreased by 41% when a patient was treated by TESPAL compared with an embolisation strategy (P = 0.06). The presence of comorbidities increased hospitalisation costs by 79% (P = 0.04). TESPAL enabled 1867€ to be gained in intractable epistaxis. Conclusions The outcomes from our decision model confirm that TESPAL is more cost-effective for patients with intractable epistaxis.
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transnasal endoscopic Sphenopalatine Artery ligation compared with embolization for intractable epistaxis a long term analysis
American Journal of Rhinology & Allergy, 2018Co-Authors: G De Bonnecaze, Y Gallois, Fabrice Bonneville, S Vergez, Benoit Chaput, E SerranoAbstract:BackgroundTransnasal endoscopic Sphenopalatine Artery ligation (TESPAL) and selective embolization both provide excellent treatment success rate in the management of intractable epistaxis. Few long...
A Shetty - One of the best experts on this subject based on the ideXlab platform.
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contemporary surgical treatment of epistaxis what is the evidence for Sphenopalatine Artery ligation
Clinical Otolaryngology, 2003Co-Authors: S Kumar, A Shetty, J Rockey, E NilssenAbstract:Contemporary surgical treatment of epistaxis. What is the evidence for Sphenopalatine Artery ligation? The optimal surgical management for failed conservative measures in epistaxis remains unclear. Given the growing enthusiasm for endoscopic transnasal Sphenopalatine Artery ligation, it is prudent and timely to evaluate the evidence base for this technique. This study aims to analyse the current evidence for transnasal endoscopic Sphenopalatine Artery ligation by reviewing the literature and also by comparing the results with other approaches to the management of epistaxis. A detailed literature search identified 11 publications relating to endoscopic Sphenopalatine Artery ligation. The total number of patients in the pooled series was 127, of which 98% had control of epistaxis following surgery. These results compared favourably to the results of most other techniques used in the modern treatment of epistaxis. Nonetheless, the total number of patients in the 11 case series is small. It is therefore recommended that all units using this technique audit their results to see if the high success rates achieved in the literature are reproducible. If this is the case, then endoscopic Sphenopalatine Artery ligation may indeed be the surgical answer to intractable posterior epistaxis.
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contemporary surgical treatment of epistaxis what is the evidence for Sphenopalatine Artery ligation
Clinical Otolaryngology, 2003Co-Authors: S Kumar, A Shetty, J Rockey, E NilssenAbstract:The optimal surgical management for failed conservative measures in epistaxis remains unclear. Given the growing enthusiasm for endoscopic transnasal Sphenopalatine Artery ligation, it is prudent and timely to evaluate the evidence base for this technique. This study aims to analyse the current evidence for transnasal endoscopic Sphenopalatine Artery ligation by reviewing the literature and also by comparing the results with other approaches to the management of epistaxis. A detailed literature search identified 11 publications relating to endoscopic Sphenopalatine Artery ligation. The total number of patients in the pooled series was 127, of which 98% had control of epistaxis following surgery. These results compared favourably to the results of most other techniques used in the modern treatment of epistaxis. Nonetheless, the total number of patients in the 11 case series is small. It is therefore recommended that all units using this technique audit their results to see if the high success rates achieved in the literature are reproducible. If this is the case, then endoscopic Sphenopalatine Artery ligation may indeed be the surgical answer to intractable posterior epistaxis.
J Rockey - One of the best experts on this subject based on the ideXlab platform.
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contemporary surgical treatment of epistaxis what is the evidence for Sphenopalatine Artery ligation
Clinical Otolaryngology, 2003Co-Authors: S Kumar, A Shetty, J Rockey, E NilssenAbstract:Contemporary surgical treatment of epistaxis. What is the evidence for Sphenopalatine Artery ligation? The optimal surgical management for failed conservative measures in epistaxis remains unclear. Given the growing enthusiasm for endoscopic transnasal Sphenopalatine Artery ligation, it is prudent and timely to evaluate the evidence base for this technique. This study aims to analyse the current evidence for transnasal endoscopic Sphenopalatine Artery ligation by reviewing the literature and also by comparing the results with other approaches to the management of epistaxis. A detailed literature search identified 11 publications relating to endoscopic Sphenopalatine Artery ligation. The total number of patients in the pooled series was 127, of which 98% had control of epistaxis following surgery. These results compared favourably to the results of most other techniques used in the modern treatment of epistaxis. Nonetheless, the total number of patients in the 11 case series is small. It is therefore recommended that all units using this technique audit their results to see if the high success rates achieved in the literature are reproducible. If this is the case, then endoscopic Sphenopalatine Artery ligation may indeed be the surgical answer to intractable posterior epistaxis.
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contemporary surgical treatment of epistaxis what is the evidence for Sphenopalatine Artery ligation
Clinical Otolaryngology, 2003Co-Authors: S Kumar, A Shetty, J Rockey, E NilssenAbstract:The optimal surgical management for failed conservative measures in epistaxis remains unclear. Given the growing enthusiasm for endoscopic transnasal Sphenopalatine Artery ligation, it is prudent and timely to evaluate the evidence base for this technique. This study aims to analyse the current evidence for transnasal endoscopic Sphenopalatine Artery ligation by reviewing the literature and also by comparing the results with other approaches to the management of epistaxis. A detailed literature search identified 11 publications relating to endoscopic Sphenopalatine Artery ligation. The total number of patients in the pooled series was 127, of which 98% had control of epistaxis following surgery. These results compared favourably to the results of most other techniques used in the modern treatment of epistaxis. Nonetheless, the total number of patients in the 11 case series is small. It is therefore recommended that all units using this technique audit their results to see if the high success rates achieved in the literature are reproducible. If this is the case, then endoscopic Sphenopalatine Artery ligation may indeed be the surgical answer to intractable posterior epistaxis.