Comparison of electro and chemical cautery in the treatment of anterior epistaxis

Toner, J. G.; Walby, A. P.

doi:10.1017/s0022215100113398

Cited by 36 publications

(23 citation statements)

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“…The superiority of one surgical treatment versus another surgical treatment has yet to be demonstrated in either an observational study or a randomized clinical trial. Reported failure rates for arterial ligation ( 1, 2 ), endoscopic cautery ( 3‐5 ), and angiographic embolization ( 6‐9 ) each range from approximately 10 to 25%. The reported complication rates for arterial ligation and embolization are also very similar ( 1, 6, 7 ).…”

Section: Introductionmentioning

confidence: 99%

Effectiveness of Surgical Management of Epistaxis at a Tertiary Care Center

1997

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A retrospective review is presented of 44 consecutive patients requiring hospitalization for epistaxis at a tertiary care center. The study had the following objectives: 1. to identify predictors of surgical treatment, and 2. to compare the effectiveness of different surgical treatments. Length of stay, complications, and cost analysis are also presented. Eighteen patients were successfully treated nonsurgically, whereas 26 patients received surgical treatment. Posterior epistaxis (P<0.05) and an admission hematocrit less than 38% (P<0.05) were significant predictors of surgical treatment. The rebleed rate after first surgical therapy was 33% for embolization, 33% for endoscopic cautery, and 20% for ligation. Since embolization, ligation, and endoscopic cautery may have nearly equivalent failure rates, other factors, such as cost and institutional expertise, should guide the selection of surgical treatment.

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Section: Introductionmentioning

confidence: 99%

Effectiveness of Surgical Management of Epistaxis at a Tertiary Care Center

1997

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“…11,12 The solid form of silver nitrate is used for chemical cauterization and antisepsis in the treatment of epistaxis and neonatal umbilical granulomas, whereas the solution form is widely used for prophylaxis of neonatal conjunctivitis. [13][14][15][16][17] The solution form of silver nitrate is also used for filarial chyluria in urology. 18,19 In addition, the solid form of silver nitrate has been found to be successful in the treatment of wart and nail granulomas and oral aphthous stomatitis.…”

Section: Discussionmentioning

confidence: 99%

Silver Nitrate Cauterization for Anal Fistulas with High Blind Tract Chemical Therapy in Complicated Anal Fistulas

Demırel¹,

Köklü²

2013

Euroasian Journal of Hepato-Gastroenterology

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Aim:The efficiency of a chemical cauterization technique in the treatment of high blind tracts, which are important causes of recurrence in anorectal fistula, were investigated. Materials and methods:Fifteen patients underwent surgery for low perianal fistula with high blind tracts. Partial fistulectomy and cutting seton technique was performed on all patients. The high blind tracts were cauterized by silver nitrate particles and the surgical area was left for secondary healing. The follow-up duration was 6 months to 1 year. The anal continence was evaluated according to the Wexner score.Results: Four of the 15 patients were female, whereas 11 were male. Ages ranged between 17 and 67 years. While 11 participants were primary cases, four were recurrent. Nine of the fistula tracts were intersphincteric and five were transsphincteric and one case had horseshoe fistula. The mean wound healing duration was 5.5 weeks. Mild anal incontinence (Wexner score = 3) was recorded in one case and recurrence was observed in another. Conclusion:Cauterization with silver nitrate is a new treatment method for high blind tract in anal fistulas. It is a safe and noninvasive method that reduces recurrences and surgical complications.

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“…Oxymetazoline and anterior pressure is the first step in management of anterior bleeds, which has been found to control 65% of nosebleeds presenting to the emergency department . If topical sprays fail to control bleeding, visualization with a headlight or endoscopes to identify the focus of bleeding should be attempted—followed by cautery with silver nitrate or electrocautery, which have been found to be equally effective with the same rate of complications . If the above interventions fail, anterior nasal packing can be placed, with the purpose of controlling bleeding while minimizing additional mucosal trauma .…”

Section: Introductionmentioning

confidence: 99%