What is septal Dermoplasty?
What is septal Dermoplasty?
Septal dermoplasty can reduce the severity of epistaxis by 75%. This procedure involves replacing the nasal mucosa with autologous skin grafts. Telangiectasias may also develop on the autologous skin grafts, however. Septal dermoplasty decreases the need for, but does not obviate, repeated laser ablation.
How Merocel works?
The Merocel nasal tampon is made of polyvinyl alcohol, which is a compressed foam polymer that is inserted into the nose and expanded by application of water. The nasal tampon swells and fills the nasal cavity and applies pressure over the bleeding point.
How to pack epistaxis?
Nasal packing may be “anterior” nasal packing that is done by using a gauze inserted inside the nasal cavity after numbing the nasal area. The doctor will douse the gauze in an antibiotic ointment and a medication that squeezes the blood vessels shut.
How do you insert Merocel?
Insertion. If using a Merocel® or other dry sponge tampon: You must put a suture through the tampon if it does not already have one: never put anything in the nose without leaving some way of pulling it out. Some people lubricate the tip of the tampon – use any lubricant.
What is the best method for treating epistaxis?
Treatments to be considered include topical vasoconstriction, chemical cautery, electrocautery, nasal packing (nasal tampon or gauze impregnated with petroleum jelly), posterior gauze packing, use of a balloon system (including a modified Foley catheter), and arterial ligation or embolization.
How do you insert a posterior nasal pack?
The gauze pack should rest in the posterior nasal cavity. It is secured in position by maintaining tension on the catheter with a padded clamp or gauze roll placed anterior to the nostril. Ties protruding from the mouth (used to remove the pack) should be secured to the patient’s cheek.
How do you perform anterior Rhinoscopy?
Anterior rhinoscopy is performed as a part of physical examination in the clinic. It is performed using an instrument called a nasal speculum. The doctor wears a headlight to free up the hands and shines the light into the nose. The speculum is placed in the nostril that helps widen the nostril.
What is a contraindication for nasal packing in epistaxis?
Contraindications. In the emergency department, nasal packing for anterior epistaxis is contraindicated in the following situations: Significant facial/nasal bone fractures. Basilar skull fracture. Hemodynamic instability or airway compromise requiring emergency blood transfusion or intubation (relative)
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