Evaluation of nasal hot water irrigation in the management of posterior epistaxis | ||
| Egyptian Journal of Neck Surgery and Otorhinolaryngology | ||
| Article 2, Volume 8, Issue 3, December 2022, Pages 8-17 PDF (406.72 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejnso.2022.254284 | ||
| Authors | ||
| Mohamed Ekram Abdallah Osman; Rania Fahmi; Ahmed Aboulwafa | ||
| Otorhinolaryngology Department, Faculty of Medicine, Assuit, Egypt | ||
| Abstract | ||
| Background: The management of the posterior epistaxis is very challenging for any otorhinologist. Hot water irrigation (HWI) is a simple and non-invasive technique for the management of posterior epistaxis. Objective: To evaluate the efficacy of HWI in the management of posterior epistaxis including the advantages, complications, and factors affecting its success. Methods: Forty-five patients with posterior epistaxis were included in this research. This is a prospective observational study. Results: Using HWI, we achieved hemostasis in 39 patients (86.7%), two of them (4.4%) had complications in the form of minimal nasal adhesions. The mean hospital stay was 1.13 days (±0.344). The HWI failed in six patients (13.3%), we controlled epistaxis by anterior nasal packing (ANP) in four patients of them, and the remaining two patients by the posterior nasal pack. Conclusions: HWI is a safe, efficient, and cost-effective treatment method for posterior epistaxis. This method has the additional benefits of less patient discomfort, less morbidity, less need for surgical intervention, and fewer days of hospitalization. | ||
| Keywords | ||
| Posterior epistaxis; hot water irrigation; hemostasis; control bleeding | ||
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