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Microscope and hot wire cautery management of 100 consecutive patients with acute epistaxis — a superior method to traditional packing

Published online by Cambridge University Press:  29 June 2007

S. M. Quine ,
R. F. Gray ,
M. Rudd  and
H. von Blumenthal
S. M. Quine*
Affiliation:
Department of Otolaryngology, Addenbrooke's Hospital, Cambridge, UK.
R. F. Gray
Affiliation:
Department of Otolaryngology, Addenbrooke's Hospital, Cambridge, UK.
M. Rudd
Affiliation:
Department of Otolaryngology, Addenbrooke's Hospital, Cambridge, UK.
H. von Blumenthal
Affiliation:
Department of Otolaryngology, Addenbrooke's Hospital, Cambridge, UK.
*
Dr Stuart Quine, B.Med. Sc., B.M., B.S., Department of ENT, Addenbrooke's Hospital, Cambridge CB2 2QQ.
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Abstract

The technique of microscope examination and hot wire cautery in a prospective study of 100 consecutive patients with acute epistaxis is described. The method was successful in arresting haemorrhage in 94 per cent of patients bleeding at the time of examination, and in 86 per cent, discharge home within one hour was possible. Due to improved illumination, magnification and control of the cautery instrument, nasal packing was required in only nine per cent of cases. By achieving this and by reducing the overall need for admission to 20 per cent, we recommend this method of treatment both as a successful cost saving measure, as well as advantageous to the patient.

Keywords

Epistaxis, treatment
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 108 , Issue 10 , October 1994 , pp. 845 - 848
Copyright
Copyright © JLO (1984) Limited 1994

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