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Novel method for safe cauterisation of posterior epistaxis.
J Laryngol Otol
August 2009
Department of Otolaryngology, Leicester Royal Infirmary, Leicester Leicestershire, UK.
Introduction: In epistaxis, anterior bleeding points are easily cauterised under direct vision, but those which occur in the posterior nose present a greater challenge. Standard cautery techniques limit simultaneous use of other equipment in the narrow posterior nose.
Methods: This article presents a novel device which combines suction, cautery stick and sheath in one single-handed implement for ease of use.
Endoscopic electrosurgical adenoidectomy: technique and outcomes.
J Otolaryngol
April 2004
Department of Surgery (Otolaryngology), Centre Hospitalier Anna-Laberge, Chateauguay, QC.
Recent literature has embraced the use of electrosurgery and endoscopy in adenoidectomy, with several published articles on the subject. The combination of these methods and the routine use of endoscopy have not been reported. This approach provides a direct-targeted route to the nasopharynx, improved visualization, and magnification and offers a bloodless surgical field.
View Article and Find Full Text PDFA mixture of epinephrine and hyaluronidase, injected into the naso-orbital recess at the start of dacryocystorhinostomy and into the nasal mucosa immediately after bone penetration, appears to have a greater hemostatic effect than epinephrine alone. Surgical time is shortened by the reduced need for angular vessel ligation, suction, cautery of bleeding, and nasal packing. Postoperative ecchymosis and nasal clotting are also reduced.
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