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2 results

  • MARTIAL AND THE DOCTORS: OPHTHALMOLOGY AND UVULECTOMY IN EPIGRAM 10.56

  • Lawrence J. Bliquez
  • Journal:
    The Classical Quarterly / Volume 71 / Issue 2 / December 2021
    Published online by Cambridge University Press:
    07 September 2021, pp. 907-910
    Print publication:
    December 2021
    • Article
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  • This short note attempts to shed light on some of the surgical procedures referred to in Martial's epigram 10.56 by consulting pertinent Graeco-Roman medical texts. A fuller understanding of one such intervention (treatment of infected/inflamed uvula) supports Martial's text as transmitted.

  • Evaluating nasal cautery techniques in epistaxis

  • J Bastianpillai, C Saxby, P Coyle, A Armstrong, W Mohamid, G Mochloulis
  • Journal:
    The Journal of Laryngology & Otology / Volume 133 / Issue 10 / October 2019
    Published online by Cambridge University Press:
    07 October 2019, pp. 923-927
    Print publication:
    October 2019
  • Background

    Silver nitrate cautery and bipolar electrocautery are commonly used in the treatment of epistaxis. Currently, there are no recommendations on optimum contact times or power for nasal cautery. ENT consultant practice in the UK has not previously been evaluated.

    Methods

    This study examined the burn depth associated with silver nitrate (75 per cent concentration) cautery and bipolar electrocautery on porcine septum samples, using varying contact times and power. ENT consultants completed a survey evaluating their practice.

    Results and conclusion

    ENT consultant practice of nasal cautery was shown to vary widely. Silver nitrate cautery with a contact time of less than 30 seconds does not cause a full thickness burn. The findings lend some support to bilateral cauterisation with silver nitrate. Bipolar electrocautery should be set at lower than 10 W and with a contact time of less than 4 seconds to reduce the risk of complications associated with a full thickness burn.