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Suturing of Little's area of the nasal septum for epistaxis

Published online by Cambridge University Press:  20 January 2009

Z ZhengHua ,
F Gang ,
Z BingWei  and
C JiaWen
Z ZhengHua*
Affiliation:
Department of Otolaryngology, Shanghai East Hospital, Tongji University, Shanghai City, China
F Gang
Affiliation:
Department of Otolaryngology, Shanghai East Hospital, Tongji University, Shanghai City, China
Z BingWei
Affiliation:
Department of Otolaryngology, Shanghai East Hospital, Tongji University, Shanghai City, China
C JiaWen
Affiliation:
Department of Otolaryngology, Shanghai East Hospital, Tongji University, Shanghai City, China
*
Address for correspondence: Dr Zhu ZhengHua, Department of Otolaryngology, Shanghai East Hospital, Tongji University, 150 JiMo Road, Shanghai City, China200120. E-mail: brotherback@hotmail.com
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Abstract

Background:

Epistaxis is a common condition presenting to emergency and ENT clinics. Most epistaxis bleeding originates from Little's area of the nasal septum. Some cases of refractory epistaxis cannot be resolved with packing or electrocoagulation.

Method:

The suturing technique applied is widely used in surgery. When faced with pulsatile, recurrent bleeding from Little's area of the nasal septum, all rhinologists should possess the skills to be able to suture the bleeding site, especially after failure of local cautery or packing.

Case report:

The authors have successfully treated four difficult cases of nasal bleeding from Little's area by suturing.

Conclusion:

This technique could eliminate the discomfort and complications of nasal packing. To the best of our knowledge, this report probably represents the first published case series of suturing of Little's area to treat recurrent nasal bleeding. More cases need to be treated in this way to enable further evaluation of the technique.

Keywords

EpistaxisSuturesNasal Septum
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 7 , July 2009 , pp. 787 - 788
Copyright
Copyright © JLO (1984) Limited 2009

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