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Updated: Jun 9, 2026

Non-Intubated Video-Assisted Thoracoscopic Surgery
Published on: May 26, 2023
Rhinitis medicamentosa as a cause of increased intraoperative bleeding
Jacob G Robison1, Harshita Pant, Berrylin J Ferguson
1Department of Otolaryngology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania 15219, USA.
Abstract:
Rhinitis medicamentosa occurs with repeated and prolonged use of topical decongestants. The resultant reduced ability to respond to decongestants mediated via enlarged capillary endothelial gaps can lead to profuse bleeding during turbinate surgery. We recommend that patients with rhinitis medicamentosa be weaned off topical decongestants prior to elective turbinate surgery to minimize this complication. The management of rhinitis medicamentosa and a case of intraoperative hemorrhage are presented.
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