An alternative to a postnasal pack for the arrest of perioperative hemorrhage following curettage adenoidectomy.
Controlling bleeding with standard postnasal packing following curettage adenoidectomy is only occasionally warranted. Children find the packing experience unpleasant, and removal of the packing usually requires general anesthesia. We describe a simple technique for packing the nasopharynx with bilateral nasal tampons via an anterior approach. The tampons are much easier to insert than standard packing, they are well tolerated while in place, and they can be easily removed with perhaps only some light sedation rather than general anesthesia.
Savage
Julian
J
ENT Department, Royal Devon & Exeter Hospital, 84 Gras Lawn, Barrack Rd., St. Leonard's, Exeter, EX2 4SZ, UK. jenjules@blueyonder.co.uk
Pace-Balzan
Albert
A
D000233:Adenoidectomy / Q000009:adverse effects*; D016063:Blood Loss, Surgical / Q000517:prevention & control*; D002648:Child; D003475:Curettage / Q000009:adverse effects*; D006488:Hemostasis, Surgical / Q000379:methods*; D006801:Humans; D013630:Tampons, Surgical