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KMID : 0388420010110010107
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Konkuk Journal of Medical Sciences
2001 Volume.11 No. 1 p.107 ~ p.112
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The Effect of Nasal Endoscopic Electrocautery in the Patients with Posterior Epistaxis
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Kim Jae-Young
Lee Min-Woo
Kim Jin-Kook
Han Chang-Joon
Nam Tae-Wook
Lim Chai-Hyoung
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Abstract
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Background and Objectives : Epistaxis is a common disease from which approximately 10% of the normal population have suffered in their life. Most bleeding sites of epistaxis are located anteriorly and easily controlled. However posterior epistaxis presents significantly great problems. A number of different treatment modalities are used to control the posterior epistaxis. Although not widely practiced, the nasal endoscopic electrocautery has also been effective. The purpose of this article is to report on the efficacy of nasal endoscopic electrocautery as an alternative and adjuvant to the standard approach for control of posterior epistaxis.
Materials and Methods : We conducted retrospective chart review about 19 cases of posterior epistaxis treated from January 1998 to December 1999. Group I patients were managed by nasal packing only and group II patients were managed by nasal packing and endoscopic electrocautery.
Results : Hospital days were 5.9 days in the group I and 3.6 days in the group II. The duration of nasal packing was 4.1 days in the group I and 1.8 days in the group II. The results were significant statistically.
Conclusion : Nasal endoscopic electrocautery was an effective treatment modality for control of posterior epistaxis.
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KEYWORD
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Posterior epistaxis, Nasal endoscopic electrocautery
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