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

Published online by Cambridge University Press:  08 August 2016

A Jain ,
S J Frampton ,
R Sachidananda  and
P K Jain
A Jain*
Affiliation:
Department of Otolaryngology, Royal Free London NHS Foundation Trust, UK
S J Frampton
Affiliation:
Department of Otolaryngology, Poole Hospital NHS Foundation Trust, UK
R Sachidananda
Affiliation:
Department of Otolaryngology, People Tree Hospitals and Manipal Northside Hospital, Bengaluru, India
P K Jain
Affiliation:
Department of Otolaryngology, Poole Hospital NHS Foundation Trust, UK
*
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
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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.

Keywords

EpistaxisLasersSolid StateLight Coagulation
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 9 , September 2016 , pp. 822 - 826
Copyright
Copyright © JLO (1984) Limited 2016 

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