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Surgical bone wax causing epistaxis

H L Tay1, L K Tan

  • 1Department of Otolaryngology, Ninewells Hospital and Medical School, Dundee, UK.

The Journal of Laryngology and Otology
|March 1, 1996
PubMed
Summary
This summary is machine-generated.

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Recurrent nosebleeds were caused by surgical bone wax left in the nasal cavity. This is the first documented instance of bone wax leading to nasal complications after surgery.

Area of Science:

  • Otolaryngology
  • Surgical Materials Science

Background:

  • Bone wax is a sterile absorbent material used in surgery to control bleeding.
  • Its application is common in neurosurgery and orthopedic procedures.
  • Nasal surgeries may rarely utilize bone wax for hemostasis.

Observation:

  • A patient presented with persistent, recurrent epistaxis (nosebleeds).
  • Investigation revealed residual bone wax within the nasal cavity.
  • The epistaxis episodes correlated with the presence of the foreign material.

Findings:

  • The recurrent epistaxis was directly attributed to the presence of surgical bone wax in the nasal cavity.
  • This represents the first reported case of epistaxis as a complication of nasal bone wax application.
  • The foreign body reaction to the wax likely induced mucosal irritation and bleeding.

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Implications:

  • Highlights the potential for nasal complications from surgical bone wax, even if rare.
  • Suggests the need for careful removal and consideration of alternative hemostatic agents in nasal procedures.
  • Underscores the importance of thorough post-operative assessment for retained surgical materials.