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Type: Journal article
Title: Update on epistaxis
Author: Douglas, R.
Wormald, P.
Citation: Current Opinion in Otolaryngology & Head and Neck Surgery, 2007; 15(3):180-183
Publisher: Lippincott Williams & Wilkins
Issue Date: 2007
ISSN: 1068-9508
Statement of
Douglas R, Wormald PJ.
Abstract: Purpose of review: The treatment of epistaxis has undergone significant changes in recent years. Gone are the days when patients had an uncomfortable posterior nasal pack inserted then spent several days on the ward only to bleed again on its removal. New packing devices, ingenious haemostatic agents and endoscopic surgical approaches have been developed to provide a variety of effective and well-tolerated treatment options. This paper will discuss the evolution and utility of these devices and techniques for managing difficult epistaxis patients. Recent findings: Modern packing devices are much easier to insert than traditional gauze packs and are no less effective. A major advance in the management of posterior epistaxis has been the development of the technique of endoscopic ligation. Summary: Anterior epistaxis is generally easy to control with local cautery. The optimal management of posterior epistaxis is to insert a pack to control the bleeding before taking the patient to the operating theatre to ligate the sphenopalatine artery endoscopically.
Keywords: Nose; Arteries; Palate; Humans; Epistaxis; Hemostatics; Cautery; Embolization, Therapeutic; Ligation; Gelatin Sponge, Absorbable; Tampons, Surgical
Description: © 2007 Lippincott Williams & Wilkins, Inc.
RMID: 0020074396
DOI: 10.1097/MOO.0b013e32814b06ed
Appears in Collections:Surgery publications

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