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

International Journal of Pediatric Otorhinolaryngology
T Roxanne LinkJoseph E Kerschner

Abstract

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.

References

Apr 1, 1991·International Journal of Pediatric Otorhinolaryngology·J RuddyH Ruddy
Dec 4, 2003·International Journal of Pediatric Otorhinolaryngology·P D KarkosM Reda El Badawey

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Citations

Jul 16, 2010·Journal of Nanobiotechnology·Humberto H LaraCristina Rodriguez-Padilla
Sep 18, 2012·Otolaryngologic Clinics of North America·M L BarnesP S White
Oct 1, 2011·International Journal of Pediatric Otorhinolaryngology·Hesham Mohammad EladlMahamad Abu-Samra
Jul 28, 2009·International Journal of Pediatric Otorhinolaryngology·Sevim Aslan FelekMunir Demirci
Nov 21, 2012·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·P M SpielmannP S White
Aug 21, 2016·Emergency Medicine Journal : EMJ·E BéquignonV Prulière-Escabasse
Dec 20, 2019·Journal of Otolaryngology - Head & Neck Surgery = Le Journal D'oto-rhino-laryngologie Et De Chirurgie Cervico-faciale·Zheng-Cai Lou
Oct 8, 2019·The Journal of Laryngology and Otology·J BastianpillaiG Mochloulis
Aug 24, 2019·Brazilian Journal of Otorhinolaryngology·Hasan Emre KoçakKamil Hakan Kaya

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