Work

Middle Ethmoid Artery Epistaxis: A Case of Post-Traumatic Severe Bleeding

Year: 2025

Type: article

Abstract: Post-traumatic epistaxis is a common sequela of head trauma, typically arising from injury to the nasal mucosa or disruption of vascular structures, including the anterior-posterior ethmoid and sphenopalatine arteries. The ethmoid arterial system exhibits considerable anatomical variation, with middle ethmoid arteries identified in approximately 30-36% of cases. This report presents a rare instance of post-traumatic epistaxis originating from the middle ethmoid arteries in a pediatric patient with congenital thrombocytopenia, confirmed through computed tomography imaging and intraoperative assessment. The case emphasizes diagnostic and therapeutic challenges, highlighting the role of endoscopic surgical intervention in achieving hemostasis. Understanding the anatomical complexity of the ethmoid arterial system is crucial for accurate diagnosis and optimal management in similar cases.

Source: Journal of Health Science and Medical Research

DOI: 10.31584/jhsmr.20251230

Authors: Chakapan Promsopa, Jiratchaya Janprasert, Usaporn Prapaisit, Nichana Suwanparin

Institution: Prince of Songkla University

Language: English

Topic: Nasal Surgery and Airway Studies

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4411393955

FWCI:

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