title: Selective surgicel packing for the treatment of posterior epistaxis.
abstract: Rod lens endoscopes provide residents in otolaryngology a means of more accurately identifying the site of bleeding and, when possible, cauterizing the bleeding vessel. Identification of a posterior bleeding point is often difficult and sometimes impossible. Intranasal manipulation for electrocautery is painful, may require general anesthesia, and is associated with complications. We describe a pilot study designed to evaluate selectively packing the bleeding site with Surgicel (oxidized cellulose) to control the hemorrhage without packing the nasal cavity and to reduce patient morbidity and length of stay in the hospital. We describe the technique and present the results of treating 8 patients admitted with acute posterior epistaxis over a 10-month period in 1995-1996.
authors.affiliation: Department of Otolaryngology and Head and Neck Surgery, Fairfield General Hospital, Bury, UK.
authors.forename: R K
authors.initials: RK
authors.lastname: Bhatnagar
authors.forename: Sandeep
authors.initials: S
authors.lastname: Berry
mesh_terms: D000208:Acute Disease; D000368:Aged; D002483:Cellulose, Oxidized / Q000627:therapeutic use*; D004724:Endoscopy; D004844:Epistaxis / Q000175:diagnosis / Q000628:therapy*; D005260:Female; D006489:Hemostatic Techniques; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D009296:Nasal Cavity / Q000473:pathology; D010036:Otolaryngology; D010865:Pilot Projects; D016896:Treatment Outcome
chemical_list: D002483:Cellulose, Oxidized; C013695:Surgicel