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Hot water irrigation as treatment for intractable posterior epistaxis in an out-patient setting

Published online by Cambridge University Press:  05 September 2011

E Novoa  and
C Schlegel-Wagner
E Novoa*
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Kantonsspital Luzern, Lucerne, Switzerland
C Schlegel-Wagner
Affiliation:
Department of Otorhinolaryngology, Head and Neck Surgery, Kantonsspital Luzern, Lucerne, Switzerland
*
Address for correspondence: Dr Eva Novoa, Department of Otorhinolaryngology, Head and Neck Surgery, Kantonsspital Luzern, 6000 Lucerne 16, Switzerland Fax: +41 041 205 4995 E-mail: [email protected]
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Abstract

The management of intractable posterior epistaxis is challenging for any physician. Nasal packing, often combined with use of an endonasal balloon system, is painful for the patient, and torturous to maintain for two to three days. If conservative treatment fails, the most commonly used treatment options are currently invasive procedures such as endoscopic coagulation of bleeding arteries, external ligation and, rarely, embolisation. This paper describes a simple, non-invasive technique of treating posterior epistaxis with hot water irrigation. Technical information is presented, and the benefits of the method are discussed.

Keywords

EpistaxisIrrigationWaterBalloon Tamponade
Type
Short Communications
Information
The Journal of Laryngology & Otology , Volume 126 , Issue 1 , January 2012 , pp. 58 - 60
Copyright
Copyright © JLO (1984) Limited 2011

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References

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4Stangerup, SE, Dommerby, H, Siim, C, Kemp, L, Stage, J. New modification of hot-water irrigation in the treatment of posterior epistaxis. Arch Otolaryngol Head Neck Surg 1999;125:686–90CrossRefGoogle ScholarPubMed
5Schlegel-Wagner, C, Siekmann, U, Linder, T. Non-invasive treatment of intractable posterior epistaxis with hot-water irrigation. Rhinology 2006;44:90–3Google ScholarPubMed
6Soyka, MB, Rufibach, K, Huber, A, Holzmann, D. Is severe epistaxis associated with acetylsalicylic acid intake? Laryngoscope 2010;120:200–7Google Scholar

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