How to perform adequate nasal packing in posterior epistaxis with difficult access
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Endoscopic Septoplasty with Limited Two-line Resection: Minimally Invasive Surgery for Septal Deviation
Published on: June 20, 2018
Christopher Low1, Peter Walshe, Stephen Hone
1Department of Otorhinolaryngology, Royal Liverpool University Hospital, Liverpool, United Kingdom. C.Low@btopenworld.com
Abstract:
Inadequate nasal packing in the treatment of posterior epistaxis can result in an increase in patient morbidity and mortality, and also hospital expenditure. The presence of a septal spur or septal deviation anterior to the bleeding may prevent sufficient local pressure over the bleeding point with a ribbon gauze pack. A modified Jobson-Horne probe can be used to ensure a tight ribbon gauze application over the bleeding point behind the septal spur or deviation.
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