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Endoscopic control of posterior epistaxis

Published online by Cambridge University Press:  29 June 2007

Samy Elwany  and
Hesham Abdel-Fatah
Samy Elwany*
Affiliation:
Department of Otolaryngology, Alexandria Medical School, Alexandria, Egypt.
Hesham Abdel-Fatah
Affiliation:
Department of Otolaryngology, Alexandria Medical School, Alexandria, Egypt.
*
Address for correspondence: Samy Elwany, M.D., P.O. Box 267, Sidi Gaber, Alexandria, Egypt.
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Abstract

Control of bleeding vessels by suction cautery under endoscopic vision was used on 38 patients suffering from posterior epistaxis. Twelve patients also required the insertion of nasal tampons at the end of the cautery procedure. Eight patients, six of them hypertensive, had recurrent epistaxis post-operatively. Five patients needed further cautery in order to control the bleeding. Three patients required temporary balloon tamponade, and a single patient had internal maxillary ligation. Temporary palatal numbness in three patients was the only post-operative complication. Otherwise, the technique has the potential advantages of simplicity, safety, effectiveness and simplified post-operative care.

Keywords

EpistaxisEndoscopy
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 110 , Issue 5 , May 1996 , pp. 432 - 434
Copyright
Copyright © JLO (1984) Limited 1996

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