clinical-pediatrics-2019-scientifictracks

8 / 11

allied
academies
Page 25
Notes:
June 12-13, 2019 | Edinburgh, Scotland
Pediatrics and Clinical Pediatrics
2nd World Congress on
Current Pediatric Research | Volume: 23
Vascular anatomy of little’s area in children with Epistaxis
Joerg Bachmann and Benedikt J Folz
Karl-Hansen Medical Center, Germany
E pistaxis in children originates in more than 90% of the
cases from the anterior nasal cavity. In the majority
of the paediatric population Epistaxis is due to trauma
(Accidents, manipulation, secondary hemorrhages after
surgery), bleeding disorders (v.-Willebrand’s disease,
side-effects of medication), dry climate (low humidity,
heating period), rhinitis and vascular anomalies. In rare
cases it is due to hereditary syndromes, e.g. Osler-Weber-
Rendu disease. In contrast to Epistaxis in adults blood
pressure changes play no essential role in paediatric
nosebleeds. This presentation analyzes the vascular
anatomy of the anterior nasal septum (Little’s area)
based on videoendoscopic findings in affected children.
Videoendoscopies of 16 children could be analyzed for
the study. Twelve of 16 children had a prominent vessel
shining through the mucosa at the anterior or lower edge
of the nasal septum and teleangiectic vessels appeared in
4/16 cases. The endoscopic examinations showed that the
dominant vessels for the anterior septum was emerging
from the floor of the nose, making a 90° turn cranially
towards Little’s area. In contrast to most descriptions in
literature, anastomoses with vessels deriving from cranial
parts of the nose, i.e. from the anterior ethmoidal artery,
could not be found. According to the findings of the
present analysis, Little’s area therefore is predominantely
supplied by the septal branch of the superior labial artery
and inferior septal branches of the sphenopalatine artery.
Results in Epistaxis therapy might therefore be improved,
if the respective terminal branches of these vessels can be
obliterated successfully.
Speaker Biography
Joerg Bachmann earned his medical degree in 1995 at Justus Liebig
University in Giessen. In addition, after studying at the technical
university in Darmstadt and the open university in Hagen, he
obtained a diploma in electrical engineering. In 1996 he received
his medical doctorate. After completing his training as a specialist in
otorhinolaryngology, he has been working as a senior physician since
2002, and since 2015 as Assistant medical director in the ENT clinic
Bad Lippspringe, Germany. Congress contributions and publications
took place amongst others on the subjects tonsillectomy, Zenker's
diverticulum, foreign body of the nasal cavity. He is a very experienced
surgeon in the field of the rhinosurgery and reconstructivemicrosurgery
of the middle ear.
e:
Joerg Bachmann et al., Current Pediatric Research, Volume 23
ISSN: 0971-9032