Anterior Ethmoid Artery Ligation for Epistaxis: A Systematic Review.

ReviewLaryngoscope investigative otolaryngology· Apr 2026

Anterior Ethmoid Artery Ligation for Epistaxis: A Systematic Review.

Wynne Zheng, Christina Zhu, Jiling Chou … Daniel B Spielman

Read paper

OculoplasticsReviewTreatmentQ1IF 1.9

Nearly 1 in 3 patients had complications after anterior ethmoid artery ligation for epistaxis

Anterior Ethmoid Artery Ligation for Epistaxis: A Systematic Review.

Wynne Zheng … Daniel B Spielman

Laryngoscope investigative otolaryngology · Apr 2026

Background

For intractable epistaxis unresponsive to conservative measures, surgical intervention, such as anterior ethmoid artery ligation (anterior ethmoid artery ligation), can control bleeding in the superior nasal cavity.

Purpose

This systematic review aims to identify the outcomes and complications of the various anterior ethmoid artery ligation approaches.

Methods

MEDLINE and PubMed were searched for English-language articles published in peer-reviewed journals using "Epistaxis" AND "anterior ethmoid artery" along with associated terms.

n = 122 patients

28.3%

Results

28.3%

postoperative complications occurred in nearly 3 in 10 patients

n = 122 patients

More results

A total of 122 patients underwent various anterior ethmoid artery ligation approaches: external approach via a Lynch incision (76.2%), transnasal endoscopic approach (9.8%), and transcaruncular approach (13.9%).

7/108 patients had postoperative bleeding despite anterior ethmoid artery ligation.

“

Conclusion · 1 of 2

Anterior ethmoid artery ligation effectively reduces epistaxis in suitable patients, with most complications from the Lynch incision being temporary.

Conclusion · 2 of 2

Further research is required to optimize anterior ethmoid artery ligation's approach and utility for intractable epistaxis.

Anterior Ethmoid Artery Ligation for Epistaxis: A Systematic Review.

Anterior Ethmoid Artery Ligation for Epistaxis: A Systematic Review.

Related papers