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Use of potassium titanyl phosphate (KTP) laser Dermastat in the treatment of recurrent anterior epistaxis – a new technique

  • A Jain (a1), S J Frampton (a2), R Sachidananda (a3) and P K Jain (a2)

Abstract

Objective:

To evaluate the short- to medium-term effectiveness of potassium titanyl phosphate (KTP) laser Dermastat in patients with recurrent anterior epistaxis.

Method:

Fifty-eight patients presenting with recurrent anterior epistaxis were treated using potassium titanyl phosphate laser Dermastat. Those with recurrent epistaxis arising from prominent vessels in Little's area, and/or those for whom treatment with silver nitrate cautery failed, were included. The main outcome measure was resolution of epistaxis at two months.

Results:

Fifty-eight patients were treated; 27 were under 18 years old. Thirty patients had prominent vessels. Thirty-one patients had undergone previous cautery treatment. Thirty-eight patients had treatment to the left side, 19 to the right and 1 to both. At two months, 74 per cent reported resolution of epistaxis with no complications. This increased to 78 per cent at further follow up.

Conclusion:

Our technique is a successful, safe treatment for recurrent anterior epistaxis in an otherwise treatment-resistant group. A single procedure is effective. The handpiece and tip are reusable and sterilisable, resulting in cost-effectiveness.

Copyright

Corresponding author

Address for correspondence: Dr Abhiney Jain, Department of Otolaryngology, Royal Free London NHS Foundation Trust, Pond Street, London, UK E-mail: abhiney.jain@nhs.net

References

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1 Petruson, B, Rudin, R. The frequency of epistaxis in a male population sample. Rhinology 1975;13:129–33
2 Schlosser, RJ. Epistaxis. N Engl J Med 2009;360:784–9
3 Benninger, MS, Marple, BF. Minor recurrent epistaxis: prevalence and a new method for management. Otolaryngol Head Neck Surg 2004;131:317–20
4 Burton, MJ, Doree, CJ. Interventions for recurrent idiopathic epistaxis (nosebleeds) in children. Cochrane Database Syst Rev 2004;(1):CD004461
5 Pope, LE, Hobbs, CG. Epistaxis: an update on current management. Postgrad Med J 2005;81:309–14
6 Chiu, T, Dunn, JS. An anatomical study of the arteries of the anterior nasal septum. Otolaryngol Head Neck Surg 2006;134:33–6
7 Pinto, J, Jeswani, S. Rhinitis in the geriatric population. Allergy Asthma Clin Immunol 2010;6:10
8 Calder, N, Kang, S, Fraser, L, Kunanandam, T, Montgomery, J, Kubba, H. A double-blind randomized controlled trial of management of recurrent nosebleeds in children. Otolaryngol Head Neck Surg 2009;140:670–4
9 Murthy, P, Laing, MR. An unusual, severe adverse reaction to silver nitrate cautery for epistaxis in an immunocompromised patient. Rhinology 1996;34:186–7
10 Robertson, S, Kubba, H. Long-term effectiveness of antiseptic cream for recurrent epistaxis in childhood: five-year follow up of a randomised, controlled trial. J Laryngol Otol 2008;122:1084–7
11 Kodama, S, Yoshida, K, Nomi, N, Fujita, K, Suzuki, M. Successful treatment of nasal septum hemangioma with the Harmonic Scalpel: a case report. Auris Nasus Larynx 2006;33:475–8
12 Ruddy, J, Proops, DW, Pearman, K, Ruddy, H. Management of epistaxis in children. Int J Pediatr Otorhinolaryngol 1991;21:139–42
13 Harvey, RJ, Kanagalingam, J, Lund, VJ. The impact of septodermoplasty and potassium-titanyl-phosphate (KTP) laser therapy in the treatment of hereditary hemorrhagic telangiectasia-related epistaxis. Am J Rhinol 2008;22:182–7
14 Werner, A, Baumler, W, Zietz, S, Kuhnel, T, Hohenleutner, U, Landthaler, M. Hereditary haemorrhagic telangiectasia treated by pulsed neodymium:yttrium-aluminium-garnet (Nd:YAG) laser (1,064 nm). Lasers Med Sci 2008;23:385–91
15 Clark, C, Cameron, H, Moseley, H, Ferguson, J, Ibbotson, SH. Treatment of superficial cutaneous vascular lesions: experience with the KTP 532 nm laser. Lasers Med Sci 2004;19:15
16 Gossner, L, May, A, Stolte, M, Seitz, G, Hahn, EG, Ell, C. KTP laser destruction of dysplasia and early cancer in columnar-lined Barrett's esophagus. Gastrointest Endosc 1999;49:812
17 Radosevich, JA, ed. Head & Neck Cancer: Current Perspectives, Advances, and Challenges. Dordrecht: Springer, 2013;631–3
18 Yan, Y, Olszewski, A, Hoffman, M, Zhuang, P, Ford, C, Dailey, S et al. Use of lasers in laryngeal surgery. J Voice 2010;24:102–9

Keywords

Use of potassium titanyl phosphate (KTP) laser Dermastat in the treatment of recurrent anterior epistaxis – a new technique

  • A Jain (a1), S J Frampton (a2), R Sachidananda (a3) and P K Jain (a2)

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