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Paediatric epistaxis: Alder Hey experience.

Zvoru G G Makura1, Graham C Porter, Max S McCormick

  • 1Department of Otolaryngology, Royal Liverpool Children's Hospital-Alder Hey, Liverpool, UK. Zmakura@aol.com

The Journal of Laryngology and Otology
|December 19, 2002
PubMed
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Paediatric epistaxis (nosebleeds) can be effectively managed in a single outpatient visit. Treatments like topical creams and silver nitrate cautery show high parent satisfaction and reduce repeat GP consultations.

Area of Science:

  • Otolaryngology
  • Pediatric Medicine

Background:

  • Epistaxis is a common reason for pediatric Ear, Nose, and Throat (ENT) referrals.
  • Effective management strategies are crucial for improving patient outcomes and reducing healthcare burden.

Purpose of the Study:

  • To evaluate the effectiveness of a single-outpatient-consultation approach for managing pediatric epistaxis.
  • To assess patient and parent satisfaction with topical treatments and chemical cautery.

Main Methods:

  • Prospective audit of 88 new pediatric epistaxis referrals over four months.
  • Data collection via parent questionnaires on history and frequency.
  • Assessment and treatment including topical chlorhexidine and neomycin cream (Naseptin) and silver nitrate cautery.
  • Follow-up postal questionnaires and general practitioner telephone surveys.

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Main Results:

  • Outpatient nasal cautery was tolerated by 98% of children.
  • 74% of parents found Naseptin useful.
  • 91% of children did not require further GP consultations for epistaxis post-treatment.

Conclusions:

  • Pediatric epistaxis can be effectively managed through a streamlined, single outpatient consultation.
  • The combined approach of topical treatment and chemical cautery offers a high success rate and patient satisfaction.