1980 Volume 23 Issue 6 Pages 639-643,617
Since the first report of ligation of the internal maxillary artery for control of nasal bleeding by Seiffert (1928) the procedure has been widely accepted, while recently clipping has become more common than ligation because of its convenience.
The authors performed clipping of the internal maxillary artery in 18 cases out of 122 cases with nasal bleeding who were hospitalized at the university hospital during the period from October 1971 to June 1979.
The results were successful in all cases except one. Hypertension appeared to be the cause of bleeding in most of the cases, while the bleedings were mostly from the posterior part of the nasal cavity.
The authors discuss the techniques in the procedure, its indication, and its merits, and drawbacks in comparison with those in ligation and in superselective arteriographic embolization.
