Epistaxis surgery: Difference between revisions

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'''Editor in Chief''': [[User:Ludi|Liudvikas Jagminas, M.D., FACEP]] [mailto:LJagminas@mhri.org] Phone: 401-729-2419; {{AE}} [[User:Amir Bagheri|Amir Behzad Bagheri, M.D.]]
{{CMG}}; {{AE}} [[User:Amir Bagheri|Amir Behzad Bagheri, M.D.]]
==Overview==
==Overview==
Nasal cautery is the most usual surgery procedure to stop nasal bleeding.  
Nasal cautery is the most usual surgery procedure to stop nasal bleeding.  
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== Indications ==
== Indications ==


* Surgery is the not first-line treatment option for patients with epistaxis, but when other procedures could not stop bleeding, there are other options include surgery.  
* Surgery is the not first-line treatment option for patients with epistaxis, but when other procedures could not stop bleeding, there are other options that include surgery.  


== Surgery ==
== Surgery ==

Revision as of 20:33, 27 October 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Amir Behzad Bagheri, M.D.

Overview

Nasal cautery is the most usual surgery procedure to stop nasal bleeding.

Indications

  • Surgery is the not first-line treatment option for patients with epistaxis, but when other procedures could not stop bleeding, there are other options that include surgery.

Surgery

  • Nasal cautery is the most usual surgery procedure to stop nasal bleeding and recurrence.[1] [2]
  • A nasal balloon or Foley catheter for posterior bleeds can be indicated.
  • Embolization and surgical arterial ligation are very effective in patients that other procedures could not stop bleeding.


References

  1. Tunkel, David E.; Anne, Samantha; Payne, Spencer C.; Ishman, Stacey L.; Rosenfeld, Richard M.; Abramson, Peter J.; Alikhaani, Jacqueline D.; Benoit, Margo McKenna; Bercovitz, Rachel S.; Brown, Michael D.; Chernobilsky, Boris; Feldstein, David A.; Hackell, Jesse M.; Holbrook, Eric H.; Holdsworth, Sarah M.; Lin, Kenneth W.; Lind, Meredith Merz; Poetker, David M.; Riley, Charles A.; Schneider, John S.; Seidman, Michael D.; Vadlamudi, Venu; Valdez, Tulio A.; Nnacheta, Lorraine C.; Monjur, Taskin M. (2020). "Clinical Practice Guideline: Nosebleed (Epistaxis)". Otolaryngology–Head and Neck Surgery. 162 (1_suppl): S1–S38. doi:10.1177/0194599819890327. ISSN 0194-5998.
  2. Krulewitz, Neil Alexander; Fix, Megan Leigh (2019). "Epistaxis". Emergency Medicine Clinics of North America. 37 (1): 29–39. doi:10.1016/j.emc.2018.09.005. ISSN 0733-8627.

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