title: Hot water irrigation as treatment for intractable posterior epistaxis in an out-patient setting.
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.
authors: Department of Otorhinolaryngology, Head and Neck Surgery, Kantonsspital Luzern, Lucerne, Switzerland. eva.novoa@ksl.ch
authors: E
authors: E
authors: Novoa
authors: C
authors: C
authors: Schlegel-Wagner
mesh_terms: D000465:Algorithms; D000553:Ambulatory Care; D021721:Balloon Occlusion; D004487:Edema; D004844:Epistaxis / Q000628:therapy*; D006489:Hemostatic Techniques; D006358:Hot Temperature / Q000627:therapeutic use*; D006801:Humans; D009296:Nasal Cavity; D009297:Nasal Mucosa / Q000503:physiopathology; D007507:Therapeutic Irrigation / Q000295:instrumentation / Q000379:methods*; D014867:Water
chemical_list: D014867:Water