title: [Hemostatic absorbable gel matrix for severe post-traumatic epistaxis].
abstract: BACKGROUND
  The management of traumatic epistaxis is an important issue for maxillofacial trauma patients, because of their frequency and severity. We assessed a single use sterile hemostatic gel matrix (surgiflo© [SF], Floseal © [FS]) available for this indication.
  
  
  METHODS
  Ten patients were managed between 2008 and 2012 by the same surgeon. The following data was documented for each patient: gender, age, mechanism of trauma or type of surgery, characteristics of epistaxis, the various hemostatic techniques used before using SF, and its effectiveness. The primary endpoint was SF effectiveness compared with usual techniques. The secondary endpoint was the evaluation of patient comfort compared to other hemostatic methods, using a visual analogue scale (VAS).
  
  
  RESULTS
  In nine out of ten cases, epistaxis was controlled after endonasal instillation of SF after failure of wicking, or double balloon catheter in first line treatment, or use of SF directly as first line treatment. The mean post procedure VAS was: 7/10 for wicking (eight patients), 9.3/10 for the double balloon catheter (three patients), 3.2/10 for SF (ten patients).
  
  
  CONCLUSIONS
  Our study highlights the effectiveness of hemostatic gel matrix in the management of post-traumatic epistaxis compared to usual methods. It also pointed out better patient comfort. A prospective comparative study on a larger cohort of patient would support the legitimacy of SF as first-line treatment for severe posttraumatic epistaxis.
authors.affiliation: Service de chirurgie maxillo-faciale, université Claude-Bernard Lyon-1, groupement hospitalier Nord, CHU de Lyon, 103, Grande-Rue-de-la-Croix-Rousse, 69004 Lyon, France. Electronic address: jt125_2@hotmail.com.
authors.forename: J T
authors.initials: JT
authors.lastname: Bachelet
authors.forename: J
authors.initials: J
authors.lastname: Bourlet
authors.forename: A
authors.initials: A
authors.lastname: Gleizal
mesh_terms: D000328:Adult; D004844:Epistaxis / Q000453:epidemiology / Q000628:therapy*; D005260:Female; D005781:Gelatin Sponge, Absorbable / Q000627:therapeutic use*; D005782:Gels; D006489:Hemostatic Techniques; D006490:Hemostatics / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009666:Nose / Q000293:injuries*; D010149:Postoperative Pain / Q000453:epidemiology; D017060:Patient Satisfaction; D012720:Severity of Illness Index; D055815:Young Adult
chemical_list: D005782:Gels; D006490:Hemostatics
keywords: Epistaxis; Facial injuries; Hemostatic technic; Technique hémostatique; Traumatismes faciaux; Épistaxis