If posterior epistaxis cannot be controlled,which aery is kigated: (A) posterior Ethmoidal aery, (B) Maxillary aery, (C) Sphenopalatine aery, (D) External carotid aery
Answer is C. ESPAL is the current ligation of choice controlling bleeding in over 90% of cases with a low complication rate. Sphenopalatine aery is ligated in the sphenopalatine foramen. Ref Scott Brown 7/e,Vol 2,p 1606.