Sphenopalatine artery ligation
A definitive surgical solution for severe and recurrent nosebleeds.
Last Updated: July 3, 2026
Surgery Type
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What happens in this surgery?
- Performed under general anesthesia, typically using an endoscope for clear visualization of the nasal cavity.
- An incision is made inside the nose to access the sphenopalatine artery, located in the pterygopalatine fossa.
- The artery and its branches are carefully identified and then ligated (tied off) or clipped to stop blood flow to the bleeding area.
- The incision is then closed, and temporary nasal packing may be placed to aid healing and prevent minor post-operative bleeding.
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Connect with a specialist to see if Sphenopalatine artery ligation is right for you.
Post Surgery Recovery
What to expect after your procedure
Following sphenopalatine artery ligation, patients typically experience some nasal discomfort, mild pain, and congestion for a few days. Temporary nasal packing, if used, is usually removed within 24-48 hours. Patients are advised to avoid strenuous activities, heavy lifting, and blowing their nose forcefully for several weeks to allow the surgical site to heal properly. It is common to experience some blood-tinged discharge or minor spotting from the nose during the initial recovery period. Patients should follow specific post-operative instructions regarding nasal hygiene, such as saline rinses, and avoid hot drinks or alcohol as these can dilate blood vessels and potentially trigger further bleeding. Regular follow-up appointments with the ENT surgeon are crucial to monitor healing and ensure the successful resolution of nosebleeds.
Hospital Stay
1–7 days
Varies by procedure
Initial Rest
1–2 weeks
Light activity only
Follow-up Visit
2–4 weeks
Wound check & review
Full Recovery
6–12 weeks
Back to normal activity
Recovery & Wellness Tips
- Undergo a thorough medical evaluation and consultation with an ENT surgeon to assess suitability for the procedure.
- Discontinue blood-thinning medications (e.g., warfarin, aspirin, NSAIDs) as advised by your surgeon, typically several days prior to surgery.
- Fast for a specified period (usually 6-8 hours) before the surgery, as directed by your medical team.
- Arrange for someone to drive you home after the procedure, as you will be recovering from anesthesia.
