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Long-term result of out-patient neodymium-doped yttrium aluminium garnet laser photocoagulation surgery for patients with epistaxis

Published online by Cambridge University Press:  24 November 2015

J Zhang ,
R Qiu  and
C Wei
J Zhang
Affiliation:
Department of Laser Surgery, Eye, Ear, Nose and Throat Hospital, Fudan University, Shanghai, China
R Qiu
Affiliation:
Department of Laser Surgery, Eye, Ear, Nose and Throat Hospital, Fudan University, Shanghai, China
C Wei*
Affiliation:
Department of Otolaryngology, Eye, Ear, Nose and Throat Hospital, Fudan University, Shanghai, China
*
Address for correspondence: Dr Chunsheng Wei, Department of Otolaryngology, Eye, Ear, Nose and Throat Hospital, Fudan University, Shanghai 200031, China E-mail: [email protected]
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Abstract

Objective:

To evaluate the long-term efficacy of out-patient neodymium-doped yttrium aluminium garnet laser photocoagulation surgery for patients with epistaxis.

Methods:

A retrospective clinical study was conducted. A total of 217 consecutive patients who presented with acute or recurrent epistaxis received neodymium-doped yttrium aluminium garnet laser photocoagulation treatment in an out-patient setting.

Results:

At three years, 94 per cent of acute epistaxis patients versus 88 per cent of recurrent epistaxis patients reported no bleeding. The outcome scores at 12 weeks and 3 years after treatment showed no significant differences between the 2 groups (p = 0.207 and p = 0.186). However, there was a significant difference in outcome scores at four weeks after treatment (p = 0.034). The median (and mean ± standard deviation) pain levels experienced during the laser operation (performed in an office setting) were 4.0 (3.75 ± 2.09) in the acute epistaxis group and 4.0 (3.83 ± 2.01) in the recurrent epistaxis group. Neither group had any complications.

Conclusion:

Neodymium-doped yttrium aluminium garnet laser photocoagulation is desirable in the treatment of both acute and recurrent epistaxis, and has long-lasting efficacy.

Keywords

LaserEpistaxisPhotocoagulation
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 130 , Issue 1 , January 2016 , pp. 76 - 81
Copyright
Copyright © JLO (1984) Limited 2015 

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