The hypothesis is that early ligation of the sphenopalatine arteries would reduce the costs of care for the community while improving the quality of life of patients compared to supra-elective embolization.~This medico-economic superiority could go through:~reduction in the number of recurrences~reduction in the length of hospital stays.~reduction in the cost of postoperative care.~reduction of iatrogenic complications~improvement of functional suites upon return home.~Tertiary prevention of dependency, particularly among the elderly
Current recommendations consider surgical ligation and supra-selective embolization as equivalent in terms of efficacy and there is no clear consensus to choose between one and the other technique. In the absence of medico-economic studies, these recommendations could not be based on any differences in efficiency between the two techniques. The management of patients with severe non-traumatic epistaxis remains controversial and varies according to the hospital and/or university centers. In practice, the use of one or the other technique depends on the habits of each reference center.