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What is Incase of uncontrolled epistaxis,ligation of internal maxillary aery is to be done in the and explain in detail?
Maxillary aery: Ligation of this aery is done in uncontrollable posterior epistaxis. Approach is Caldwell-Luc operation through pterygopalatine fossa Posterior wall of maxillary sinus is removed and the maxillary aery or its branches are blocked by applying clips. The procedure is now superceded by transnasal endoscopic sphenopalatine aery ligation. Ref: Dhingra 7e pg 201,469.