New Modification of Hot-Water Irrigation in the Treatment of Posterior Epistaxis

Sven-Eric Stangerup, Hans Dommerby, Christian Siim, Lone Kemp, Jan Stage
1999 Archives of Otolaryngology - Head and Neck Surgery  
Tamponade treatment for epistaxis is painful and traumatic to the nasal mucosa, and may necessitate hospitalization for several days. Hot-water irrigation (HWI) was introduced as a treatment of epistaxis more than 100 years ago. In a previous study the treatment proved to be effective, less painful, and less traumatic, and required a shorter hospital stay than tamponade treatment. However, HWI has the risk of aspiration during treatment. To minimize this risk, a special catheter has been
more » ... d. Objectives: To evaluate the modified HWI and to compare the results with tamponade treatment, with respect to patient compliance, effectiveness, recurrence of bleeding, pain, complications, and length of hospital stay. Patients: A total of 122 patients, hospitalized for posterior epistaxis, were randomized to receive either HWI or tamponade treatment.
doi:10.1001/archotol.125.6.686 pmid:10367928 fatcat:mcj2u75z4ngidi2z2ul2qgpfxy