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Bilateral epistaxis in children: efficacy of bilateral septal cauterization with silver nitrate. Int J Pediatr Otorhinolaryngol 2006 Aug;70(8):1439-42

Date

04/20/2006

Pubmed ID

16621035

DOI

10.1016/j.ijporl.2006.03.003

Scopus ID

2-s2.0-33744984423 (requires institutional sign-in at Scopus site)   14 Citations

Abstract

OBJECTIVE: To evaluate the rate of control of epistaxis in patients with bilateral complaints using silver nitrate and to assess short-term complications from this therapy.

STUDY DESIGN AND SETTING: Retrospective chart review with prospective incident case identification in a tertiary referral pediatric otolaryngology practice.

SUBJECTS AND INTERVENTIONS: Forty-six consecutive patients presenting to a single pediatric otolaryngologist with complaints of bilateral epistaxis received bilateral silver nitrate cauterization to the anterior septum and were seen in follow-up 2 months later to assess for control of epistaxis and complications from this therapy.

RESULTS: Ninety-three percent (43/46) of patients followed-up at 2 months after therapy. About 93% (40/43) had total or near-total resolution of their epistaxis. Five percent (2/43) of patients returned to the clinic after initial successful control for a second cauterization during the period of study. No significant complications of infection, perforation, long-term crusting, tattooing or mucocutaneous or allergic reactions were identified.

CONCLUSIONS: Bilateral epistaxis can be treated at a single visit with bilateral silver nitrate therapy in children. This treatment is highly effective, well-tolerated, and appears to have a low rate of complications.

Author List

Link TR, Conley SF, Flanary V, Kerschner JE

Authors

Valerie A. Flanary MD Director, Professor in the Otolaryngology department at Medical College of Wisconsin
Joseph E. Kerschner MD Provost, Executive Vice President, Dean, Professor in the School of Medicine Administration department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adolescent
Anti-Infective Agents
Cautery
Child
Child, Preschool
Epistaxis
Feasibility Studies
Female
Humans
Male
Nasal Septum
Retrospective Studies
Silver Nitrate