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Efficacy and Safety of Intranasal Medical Management in Pediatric Patients with Idiopathic Recurrent Epistaxis

Osman Ilkay Ozdamar1, Gul Ozbilen Acar1

  • 1Istanbul Medeniyet University Goztepe Training and Research Hospital, Department of Otorhinolaryngology Head and Neck Surgery, Istanbul, Turkey.

Medeniyet Medical Journal
|August 1, 2020
PubMed

Insights

Topical intranasal antimicrobial ointment and moisturizing gel effectively treat recurrent pediatric epistaxis. This non-invasive approach is recommended before considering more invasive interventions for nosebleeds.

Area of Science:

  • Otolaryngology
  • Pediatric Medicine
  • Dermatology

Background:

  • Idiopathic recurrent epistaxis is common in children.
  • Previous treatments often involve invasive methods.
  • A need exists for safe, effective first-line management.

Purpose of the Study:

  • To evaluate the efficacy and safety of topical intranasal antimicrobial and moisturizing agents.
  • To establish this combination as a first-step treatment for pediatric epistaxis.
  • To assess outcomes in patients with hyperemic versus hypervascular nasal mucosa.

Main Methods:

  • Retrospective chart review of 326 pediatric patients with recurrent epistaxis.
  • Enrolled 67 patients, divided into hyperemic (35) and hypervascular (32) nasal mucosa groups.
  • Assessed recurrence rates after intranasal antimicrobial and moisturizing agent treatment.

Main Results:

  • No statistically significant difference in epistaxis recurrence between hyperemic (22.9%) and hypervascular (34.4%) groups.
  • Treatment showed comparable outcomes regardless of initial nasal mucosa appearance.
  • The intervention was well-tolerated in the pediatric cohort (ages 3-17).

Conclusions:

  • Intranasal antimicrobial ointment and moisturizing gel are effective, non-invasive treatments for pediatric idiopathic recurrent epistaxis.
  • This medical management is a suitable first-line option prior to invasive procedures.
  • The treatment approach offers a safe and easily applicable solution for childhood nosebleeds.
Abstract

Keywords:
Recurrent epistaxischildidiopathicterramycintonimer

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