Comparison of Local Sclerotherapy With Lauromacrogol Versus Nasal Packing in the Treatment of Anterior Epistaxis

Paolo Farneti; Ernesto Pasquini; Vittorio Sciarretta; Giovanni Macri2; Giulia Gramellini; Antonio Pirodda

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저자정보: Paolo Farneti Ernesto Pasquini Vittorio Sciarretta Giovanni Macri2 Giulia Gramellini Antonio Pirodda

저널정보: 대한이비인후과학회 Clinical and Experimental Otorhinolaryngology Clinical and Experimental Otorhinolaryngology 제9권 제2호

발행연도: 2016.1

수록면: 131 - 135 (5page)

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Objectives. Epistaxis is one of the most common otorhinolaryngologic emergencies representing more than 12% of conditions managed at the Ear, Nose and Throat (ENT) Emergency Consulting Room of our Otorhinolaryngologic Unit each year. The elevated frequency of this pathology makes it necessary to adopt the most effective and least expensive therapeutic strategy available. The aim of this study was to compare the efficacy, costs and morbidity of nasal packing (NP), which is the mainstay of treatment for anterior epistaxis in our ENT Emergency Consulting Room versus submucosal infiltrations of lauromacrogol (LA). Methods. A retrospective study was designed from August 2012 to April 2013 involving 53 patients suffering from anterior epistaxis. Anterior NP was used in 27 patients versus 26 patients undergoing 27 procedures performed with submucosal infiltrations of LA (or polidocanol). Outcomes for each treatment were evaluated. Patients in group 1 were treated with LA 400 injection next to the bleeding point: 0.5- to 1-mL single or multiple infiltrations with a 27-gauge needle. The whitening of the nasal mucosa around the bleeding point during infiltration was considered a marker of correct procedure in order to achieve the best results. Bilateral treatment was also performed at the same time. Patients in group 2 were treated with standard NP. Results. Bleeding recurrence was higher in the NP group even if it was not statistically significant (P=0.2935). However, the LA infiltrations were better tolerated with lower morbidity and costs as compared to NP. No complications were observed in either group. Conclusion. LA infiltrations were shown to be a viable alternative in anterior epistaxis treatment. They are safe, easy to use with good efficacy and have a low cost.

#Keywords. Epistaxis #Sclerotherapy #Polidocanol #Nasal Mucosa #Polyethylene Glycol

참고문헌 (14)

참고문헌 신청

Daudia A. / 2008 / Guidelines for the management of idiopathic epistaxis in adults : how we do it / Clin Otolaryngol 33(6):618~620

Ha JF. / 2011 / Comparison of nasendoscopic-assisted cautery versus packing for the treatment of epistaxis / ANZ J Surg 81(5):336~339

Javed F. / 2012 / The application of modified guidelines for epistaxis management : our experience in 30 patients before and 32 patients after audit / Clin Otolaryngol 37(2):151~155

Nikolaou G. / 2013 / Discomfort and costs in epistaxis treatment / Eur Arch Otorhinolaryngol 270(8):2239~2244

Pope LE. / 2005 / Epistaxis : an update on current management / Postgrad Med J 81(955):309~314

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