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Endoscopically guided chitosan nasal packing for intractable epistaxis.
Alan H Shikani1, Karim A Chahine, Mohannad A Alqudah
1Division of Rhinology, The Union Memorial Hospital, Baltimore, Maryland, USA. ashikani@aol.com
American Journal of Rhinology & Allergy
|June 30, 2011
Summary
Endoscopically guided chitosan packing effectively controlled severe epistaxis in 95% of patients, offering a safe and well-tolerated outpatient treatment option for intractable nosebleeds.
Area of Science:
- Otolaryngology
- Rhinology
- Medical Devices
Background:
- Intractable epistaxis poses a significant clinical challenge.
- Traditional anterior-posterior nasal packing may fail in severe cases.
- Novel treatment strategies are needed for persistent nosebleeds.
Purpose of the Study:
- To evaluate the effectiveness of endoscopically guided chitosan packing.
- To assess the safety and tolerability of this novel epistaxis treatment.
- To determine its utility in managing intractable nosebleeds.
Main Methods:
- A prospective case series was conducted.
- Patients with intractable epistaxis refractory to traditional packing were included.
- Chitosan packing was guided by nasal endoscopy and applied as an outpatient procedure.
Main Results:
- Ninety-five percent (19/20) of patients achieved immediate hemostasis.
- One patient required successful repacking.
- Bleeding cessation occurred within 3.6 minutes; no serious side effects were reported post-removal.
Conclusions:
- Endoscopically guided chitosan packing is a safe and effective treatment.
- It provides a well-tolerated outpatient management option for intractable epistaxis.
- This method offers rapid hemostasis for severe nosebleeds.
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