Bilateral epistaxis in children: efficacy of bilateral septal cauterization with silver nitrate

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. Retrospective chart review with prospective incident case identification in a tertiary referral pediatric otolaryngology practice. Forty-s...

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Bibliographic Details
Published inInternational journal of pediatric otorhinolaryngology Vol. 70; no. 8; pp. 1439 - 1442
Main Authors Link, T. Roxanne, Conley, Stephen F., Flanary, Valerie, Kerschner, Joseph E.
Format Journal Article
LanguageEnglish
Published Ireland Elsevier Ireland Ltd 01.08.2006
Subjects
Adolescent
Anti-Infective Agents - therapeutic use
Bilateral epistaxis
Cautery - methods
Child
Child, Preschool
Children
Complications
Epistaxis - therapy
Feasibility Studies
Female
Humans
Male
Nasal Septum
Retrospective Studies
Silver nitrate
Silver Nitrate - therapeutic use
Bilateral epistaxis
Silver nitrate
Children
Complications
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Summary: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. Retrospective chart review with prospective incident case identification in a tertiary referral pediatric otolaryngology practice. 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. 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. 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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ISSN:0165-5876
1872-8464
DOI:10.1016/j.ijporl.2006.03.003