1999
DOI: 10.1046/j.1365-2273.1999.00311.x
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A new bipolar diathermy probe for the outpatient management of adult acute epistaxis

Abstract: The findings of a prospective evaluation of the use of a newly-designed bipolar diathermy probe in the outpatient management of adult acute epistaxis are presented. Forty-four adult patients with acute epistaxis were treated with bipolar diathermy after identification of the bleeding point using a rod lens endoscope. The use of the nasal endoscope allowed diagnosis of the source of the bleeding point in all patients. In all 44 patients immediate control of the bleeding was achieved. The use of the bipolar prob… Show more

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Cited by 58 publications
(59 citation statements)
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References 11 publications
(13 reference statements)
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“…In the present study (Table 5) most cases were anterior nasal bleeds and were managed conservatively with anterior nasal packing similar to study by Juselius and O' Donnel et al 7,8 Most cases were treated conservatively with anterior nasal packing (Table 6) (85 patients), some cases whom were without active bleeding during admission were observed (21 patients) and some cases were treated with anterior and posterior nasal packing (14 patients).…”
Section: Discussionsupporting
confidence: 67%
“…In the present study (Table 5) most cases were anterior nasal bleeds and were managed conservatively with anterior nasal packing similar to study by Juselius and O' Donnel et al 7,8 Most cases were treated conservatively with anterior nasal packing (Table 6) (85 patients), some cases whom were without active bleeding during admission were observed (21 patients) and some cases were treated with anterior and posterior nasal packing (14 patients).…”
Section: Discussionsupporting
confidence: 67%
“…A committed search for the bleeder as well as a deliberate effort to find the cause of epistaxis 3,6,7 is necessary, because too many cases of epistaxis are grouped as idiopathic or primary. In this study 45.55% of cases were idiopathic similar to findings of Mgbor.…”
Section: Discussionmentioning
confidence: 99%
“…It helps in proper visualization and hence return to haemostasis of the bleeding vessel. 5 Most areas that bleed spontaneously are situated in the posterior and lateral part of the nose whose detection is time consuming. Rigid nasal endoscopy enables targeted homeostasis of the bleeding vessel using insulated hot wire cautery or modern single fiber bipolar electrodes, chemical cautery, direct pressure from miniature targeted packs, endoscopic ligation of the sphenopalatine artery, endoscopic ligation of ethmoidal arteries or with the use of lasers.…”
Section: Introductionmentioning
confidence: 99%