Evidence map›Paper›PMID 40802097›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2025

The importance of the anterior ethmoidal artery in idiopathic epistaxis: a retrospective study.

Nikolaos K Vovolinis, Vasileios T Panousopoulos, Efthymios Kyrodimos, Evangelos I Giotakis, Aris I Giotakis

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Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

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5 authors.

Nikolaos K VovolinisFirst Department of Otorhinolaryngology, Head and Neck Surgery, Hippocrateion General Hospital, National and Kapodistrian University of Athens, Vas. Sofias 114, 11527, Athens, Greece.ORCID http://orcid.org/0009-0001-8089-4168
Vasileios T PanousopoulosFirst Department of Otorhinolaryngology, Head and Neck Surgery, Hippocrateion General Hospital, National and Kapodistrian University of Athens, Vas. Sofias 114, 11527, Athens, Greece. billpan95@gmail.com.ORCID http://orcid.org/0009-0009-0579-4456
Efthymios KyrodimosFirst Department of Otorhinolaryngology, Head and Neck Surgery, Hippocrateion General Hospital, National and Kapodistrian University of Athens, Vas. Sofias 114, 11527, Athens, Greece.ORCID http://orcid.org/0000-0001-5236-7961
Evangelos I GiotakisFirst Department of Otorhinolaryngology, Head and Neck Surgery, Hippocrateion General Hospital, National and Kapodistrian University of Athens, Vas. Sofias 114, 11527, Athens, Greece.ORCID http://orcid.org/0000-0002-5118-6453
Aris I GiotakisFirst Department of Otorhinolaryngology, Head and Neck Surgery, Hippocrateion General Hospital, National and Kapodistrian University of Athens, Vas. Sofias 114, 11527, Athens, Greece.ORCID http://orcid.org/0000-0002-4162-4261

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeData that compare the anterior ethmoidal artery (AEA) with the sphenopalatine artery (SPA) in epistaxis are limited. We intended to compare features of idiopathic epistaxis due to the anterior ethmoidal artery (AEA-epistaxis) with features of idiopathic epistaxis due to the sphenopalatine artery (SPA-epistaxis).

methodsWe conducted a retrospective review of subjects that were hospitalized due to epistaxis between 1st January 2017 and 31st December 2024 at the University Department of Otorhinolaryngology.

resultsIn 113 subjects with idiopathic epistaxis, 61 (54%) subjects presented with SPA-epistaxis and 27 (24%) with AEA-epistaxis. The most frequent AEA-epistaxis site was the Stamm's S point (23/27), with the anterior nasal roof following (4/27). Subjects with SPA-epistaxis needed less often (13%) blood transfusion compared to subjects with AEA-epistaxis (30%; p < 0.001). Type of anesthesia differed significantly between subjects with SPA-epistaxis (100% general anesthesia) and subjects with Stamm' S point AEA-epistaxis (30% local anesthesia; p < 0.001). More subjects with initial SPA-epistaxis were re-admitted with severe epistaxis on the same nasal side (4.9%) than subjects with initial AEA-epistaxis (0%; p > 0.2).

conclusionIn every fourth patient, idiopathic epistaxis might originate from septal branches of AEA, i.e., the Stamm's S point or the anterior nasal roof. Otorhinolaryngologists should not neglect looking for AEA branches during epistaxis. Delay of identification might result in higher blood transfusion rates. In contrast to the SPA, Stamm's S point can be occasionally addressed under local anesthesia, with very low re-admission rates.

Indexed as

ArteriesEpistaxisEthmoid SinusAdultAgedAged, 80 and overBlood TransfusionFemaleHumansMaleMiddle AgedRetrospective StudiesAnterior ethmoidal arteryBlood transfusionEndoscopyEpistaxisNasal cavityNasal surgical proceduresNasal tamponadePatient admissionRetrospective studiesSphenopalatine artery

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PMID40802097

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.