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.
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Authors | T Roxanne Link, Stephen F Conley, Valerie Flanary, Joseph E Kerschner |
Journal | International journal of pediatric otorhinolaryngology
(Int J Pediatr Otorhinolaryngol)
Vol. 70
Issue 8
Pg. 1439-42
(Aug 2006)
ISSN: 0165-5876 [Print] Ireland |
PMID | 16621035
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- Anti-Infective Agents
- Silver Nitrate
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Topics |
- Adolescent
- Anti-Infective Agents
(therapeutic use)
- Cautery
(methods)
- Child
- Child, Preschool
- Epistaxis
(therapy)
- Feasibility Studies
- Female
- Humans
- Male
- Nasal Septum
- Retrospective Studies
- Silver Nitrate
(therapeutic use)
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