Ligasi arteri sphenopalatine merupakan satu terapi pembedahan untuk masalah
hidung berdarah. Prosedur ini memerlukan pengetahuan yang luas mengenai
variasi anatomi hidung. Walaubagaimanapun, petanda yang biasanya dipercayai
seperti crista ethmoidalis mungkin tidak dijumpai atau tiada langsung. Variasi
tersebut adalah penting dan boleh menentukan keberkesanan prosedur ini.
Kami memaparkan satu kes variasi foramen dan arteri sphenopalatine yang tiada
crista ethmoidalis. Foramen sphenopalatine dijumpai di bahagian atas meatus
superior melepasi lamella concha superior di bahagian horizontalnya. Hanya satu
cabang arteri yang ditemui keluar daripada foramen sphenopalatine. Foramen
sphenopalatine diukur daripada bahagian depan hidung. Ia berukuran 69 mm dari
“nasal sill” dan 54 mm dari limen nasi.
The upper airway is a crucial structure. It becomes a grave problem should it be narrowed. Several methods
of treatment were rendered for patients with laryngotracheal stenosis. We share our experience with the
combination total intravenous anaesthesia and apneic pause technique with or without steroid injection.
Four cases of laryngotracheal stenosis were observed in Hospital Ampang: two adult and two paediatric
cases. Age, gender, causative factor, stenosis segment length, grade or severity were observed before and
after dilatation, number of dilatation were observed and compared. The outcome measures are
decannulation and avoidance of tracheostomy. All cases had improvement of symptoms. Half or 50% of the
patient required repeated balloon dilatations. The paediatric cases successfully avoided tracheostomy while
the adult cases successfully decannulated with no complication from the procedure. Balloon dilatation by
total intravenous anaesthesia coupled with apneic method is a safe and effective method of treatment for
the narrowed airway.