Abstract | BACKGROUND: Arterial epistaxis is commonly seen in the rhinology clinic and can have a significant impact on quality of life. Previous studies have explored various therapies to address epistaxis. METHODS: Patients were treated in the outpatient clinic or operating room by microwave ablation (MWA) with a 2450-MHz cooled-shaft antenna to treat an epistaxis bleeding point. RESULTS: Of the 481 patients with arterial epistaxis, bleeding was controlled within 1 to 2 minutes and only 2 patients with recurrent bleeding required re-ablation. The shape of the thermal lesion was elliptical and it was approximately 2 mm in length, 1 mm in width, and 0.5 to 1 mm in penetration depth. Of the 481 patients, 167 (34.7%) complained of minor nasal pain on the same day of ablation. No patients complained of nasal pain or obstruction during the follow-up period. In addition, 139 (28.9%) patients showed a minor increase in rhinorrhea during the first postoperative week. Of the 481 patients, 469 (97.5%) were followed-up at 6 months with no severe MWA-related complications, such as septal perforation, synechiae formation, or orbit and brain complications. CONCLUSION: MWA is a technically feasible alternative method for patients with arterial epistaxis.
|
Authors | Zheng-Cai Lou, Yihan Dong, Zi-Han Lou |
Journal | International forum of allergy & rhinology
(Int Forum Allergy Rhinol)
Vol. 9
Issue 6
Pg. 702-706
(06 2019)
ISSN: 2042-6984 [Electronic] United States |
PMID | 30702210
(Publication Type: Journal Article)
|
Copyright | © 2019 ARS-AAOA, LLC. |
Topics |
- Ablation Techniques
- Adult
- Aged
- Aged, 80 and over
- Epistaxis
(pathology, surgery)
- Female
- Humans
- Male
- Microwaves
(therapeutic use)
- Middle Aged
- Nasal Surgical Procedures
- Treatment Outcome
- Young Adult
|