Bilateral epistaxis in children: efficacy of bilateral septal cauterization with silver nitrate

Bilateral simultaneous nasal septal cauterization in children with recurrent epistaxis

“…Link et al reported 93% complete or near-complete control of epistaxis with bilateral simultaneous anterior septal silver nitrate cauterization in 43 otherwise healthy or unhealthy children with bilateral epistaxis. They did not observe septal perforation in any of their patients [8]. Silver nitrate cauterization was performed in otherwise healthy children in our study.…”

“…Perichondrial blood flow is known as the key physiologic component for the maintenance of a healthy cartilaginous structure in nasal septum and other cartilaginous regions [8]. There is no consensus on the ideal (optimal) silver nitrate concentration and the duration of its contact with the tissue to obtain hemostasis without risking the blood flow.…”

“…There are only a few clinical studies concerning simultaneous bilateral cauterization of the nasal septum in children [8].…”

A study on epistaxis in adults: a series of 120 cases

“…1 Nasal bleeding has been traditionally attributed to hot weather, but different studies reveal different seasonal variation. 2,3 Epistaxis is a symptom of many diverse conditions. Epistaxis can have an anterior or posterior source and can be from septum or lateral nasal wall.…”

Endoscopic cauterization of the sphenopalatine artery in pediatric intractable posterior epistaxis

“…Epistaxis in children is highly prevalent [1]. In one large prospective study at least 6% of children were identified as having difficulty with epistaxis [2].…”