Avoiding a post‐nasal pack in adenoidal haemorrhage

Response to Wong and Lo

“…Sir, We would like to thank Mr Sharp for his highly constructive comments on our article. 1 We concur with his point about the importance of harvesting a longer strip of sternomastoid muscle. This is imperative to allow the technique to succeed.…”

Re: Avoiding a post‐nasal pack in adenoidal haemorrhage

“…We read with interest, the article written by Dowley & Jones (2008) entitled ‘Avoiding a post‐nasal pack in adenoidal haemorrhage’ 1 . They described a method of controlling post‐nasal bleed using a 45 or 70 degree endoscope trans‐orally or 0 degree endoscope trans‐nasally with an insulated flexible suction monopolar diathermy to thoroughly diathermy the adenoid base under direct vision.…”

“…This paper also describes the limitations of trans‐oral and trans‐nasal 0 degree endoscopes. It is suggestive that instead of using this technique to control adenoidal haemorrhage, 1 it emphasized the benefits to perform adenoidectomy using this technique in the first place not only to prevent haemorrhage but also to allow trainees to demonstrate to the senior surgeon the appropriate anatomy, completed adenoid ablation, and haemostasis.…”