title: Complications of balloon packing in epistaxis.
abstract: Although balloon packing appears to be efficient to control epistaxis, severe local complications can occur. We describe four patients with local lesions after balloon packing. Prolonged balloon packing can cause damage to nasal mucosa, septum and alar skin (nasal mucosa, the cartilaginous skeleton and the overlying soft-tissue envelope) and should, therefore, be avoided. We suggest early nasendoscopy in general anesthesia to identify and treat the bleeding focus, if bleeding cannot be controlled with regular packing.
authors: Department of Otolaryngology, Academic Medical Center, Postbus 22660, 1100 DD, Amsterdam, The Netherlands, lenkavermeeren@upcmail.nl.
authors: Lenka
authors: L
authors: Vermeeren
authors: Wynia
authors: W
authors: Derks
authors: Wytske
authors: W
authors: Fokkens
authors: Dirk-Jan
authors: DJ
authors: Menger
mesh_terms: D000369:Aged, 80 and over; D004844:Epistaxis / Q000628:therapy*; D005260:Female; D006489:Hemostatic Techniques / Q000009:adverse effects / Q000295:instrumentation; D006801:Humans; D008297:Male; D008875:Middle Aged; D055171:Nasal Cartilages / Q000293:injuries / Q000473:pathology; D009297:Nasal Mucosa / Q000293:injuries / Q000473:pathology; D009336:Necrosis; D013630:Tampons, Surgical / Q000009:adverse effects*; D013997:Time Factors; D016896:Treatment Outcome; D014945:Wound Healing
references: GMS Curr Top Otorhinolaryngol Head Neck Surg. 2009;8:Doc02
references: 22073095
references: Eur Arch Otorhinolaryngol. 2011 Aug;268(8):1151-1156
references: 21365212
references: Otolaryngol Head Neck Surg. 2000 Nov;123(5):656-7
references: 11077365
references: J Otolaryngol Head Neck Surg. 2010 Oct;39(5):606-14
references: 20828527
references: J Laryngol Otol. 2000 Jul;114(7):506-9
references: 10992930
references: J Otolaryngol Head Neck Surg. 2011 Jun;40(3):249-55
references: 21518649
references: Laryngoscope. 1960 Feb;70:194-5
references: 14409187
references: Arch Otolaryngol Head Neck Surg. 2011 Jan;137(1):30-4
references: 21242543
references: J Otolaryngol. 2004 Jun;33(3):185-8
references: 15841998
references: J Laryngol Otol. 2012 Mar;126(3):257-9
references: 22214602
references: Acta Anaesthesiol Scand. 1977;21(2):81-94
references: 848257
references: Int Forum Allergy Rhinol. 2013 Jul;3(7):563-6
references: 23307796
references: Br Med J (Clin Res Ed). 1984 Mar 31;288(6422):965-8
references: 6423162
references: Arch Otolaryngol Head Neck Surg. 1986 Mar;112(3):329-32
references: 3942641
references: Ear Nose Throat J. 2008 Nov;87(11):624-7
references: 19006062
references: Int J Pediatr Otorhinolaryngol. 2007 Sep;71(9):1399-406
references: 17618695
references: BMC Anesthesiol. 2004 Nov 29;4(1):8
references: 15569386
references: Int Forum Allergy Rhinol. 2013 May;3(5):418-24
references: 23136013