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Topical management of anterior epistaxis: a national survey

  • N Kara (a1), C Spinou (a1) and Q Gardiner (a1)



The use of nasal creams and ointments in the conservative management of anterior epistaxis is well documented and supported. This study set out to obtain a national opinion, in order to establish current practice.


A survey of all Scotland-based otolaryngology clinicians was conducted. Participants were asked which topical treatment they used in their practice, how often and for how long they advocated its use, and how they advised their patients to apply it.


The overall response rate was 91 per cent. We discuss and compare the varying responses for the questions posed, and discuss the possible reasons for these in greater detail.


This study demonstrates a high degree of variation in this practice, arising from a lack of concrete evidence and influenced by anecdotal experience and personal preferences. Definitive comparative studies are required if a ‘gold standard’ topical approach for the management of anterior epistaxis is to emerge.


Corresponding author

Address for correspondence: Mr Naveed Kara, c/o Department of Otolaryngology, Freeman Hospital, Newcastle upon Tyne, NE7 7DN. E-mail:


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1 Shaheen, OH. Epistaxis. In: Kerr, AG, Groves, J, eds. Scott Brown's Otolaryngology, 5th edn. London: Butterworths, 1987;4:272–82
2 Petruson, B. Epistaxis in childhood. Rhinology 1979;17:8390
3 Beran, M, Petruson, B. Occurrence of epistaxis in habitual nose-bleeders and analysis of some etiological factors. ORL J Otorhinolaryngol Relat Spec 1986;48:297303
4 Josephson, GD, Godley, FA, Stierna, P. Practical management of epistaxis. Med Clin North Am 1991;75:1311–20
5 Kubba, H, MacAndie, C, Botma, M, Robinson, J, O'Donnell, M, Robertson, G et al. A prospective, single-blind, randomized controlled trial of antiseptic cream for recurrent epistaxis in childhood. Clin Otolaryngol 2001;24:228–31
6 Loughran, S, Spinou, E, Clement, WA, Cathcart, R, Kubba, H, Geddes, NK. A prospective, single-blind, randomized controlled trial of petroleum jelly/Vaseline for recurrent paediatric epistaxis. Clin Otolaryngol 2004;29:266–9
7 Badran, K, Jani, P. Novel approach to Naseptin® cream application using a rubber tip. Clin Otolaryngol 2006;31:243–4
8 Burton, M, Doree, C. Interventions for recurrent idiopathic epistaxis (nosebleeds) in children. Cochrane Database Syst Rev 2004;(1):CD004461
9 Ruddy, J, Proops, DW, Pearman, K, Ruddy, H. Management of epistaxis in children. Int J Pediatr Otorhinolaryngol 1991;21:139–42
10 Murthy, P, Nilssen, ELK, Rao, S, McClymont, LG. A randomised clinical trial of antiseptic nasal carrier cream and silver nitrate cautery in the treatment of recurrent anterior epistaxis. Clin Otolaryngol 1999;24:228–31
11 Leong, SCL. Return to basics with Naseptin®. Clin Otolaryngol 2006;31:466
12 British National Formulary Online. [March 2008]
13 Lack, G, Fox, D, Northstone, K, Golding, J. Factors associated with the development of peanut allergy in childhood. N Eng J Med 2003;348:977–85
14 Donaldson, L. Chief Medical Officer's Update 36. London: Department of Health, 2003


Topical management of anterior epistaxis: a national survey

  • N Kara (a1), C Spinou (a1) and Q Gardiner (a1)


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