Abstract | BACKGROUND: METHODS: Retrospective review was performed of 64 individual laser treatments for epistaxis in HHT patients at the University of California, San Diego, Medical Center between 2002 and 2005. Nasal packing was used in 30 procedures and fibrin sealant was used in 34 procedures. RESULTS: Six of 30 (20%) procedures using postoperative nasal packing required admission with an average hospital expense of $5914. One of 34 patients (3%) in the fibrin sealant group required hospitalization (p = 0.04). CONCLUSION: Aerosolized fibrin sealant prevents postoperative epistaxis after nasal laser treatment in HHT patients. Compared with traditional nasal packing we found improved patient comfort and recovery with substantial cost savings.
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Authors | Jeremy D Richmon, Ying Tian, Jacob Husseman, Terence M Davidson |
Journal | American journal of rhinology
(Am J Rhinol)
2007 Mar-Apr
Vol. 21
Issue 2
Pg. 187-91
ISSN: 1050-6586 [Print] United States |
PMID | 17424877
(Publication Type: Journal Article)
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Chemical References |
- Fibrin Tissue Adhesive
- Hemostatics
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Topics |
- Adult
- Aged
- Epistaxis
(surgery)
- Female
- Fibrin Tissue Adhesive
(economics, therapeutic use)
- Hemostatics
(economics, therapeutic use)
- Humans
- Laser Therapy
(methods)
- Male
- Middle Aged
- Retrospective Studies
- Telangiectasia, Hereditary Hemorrhagic
(surgery)
- Treatment Outcome
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