Evaluation of nasal hot water irrigation in the management of posterior epistaxis

Document Type : Original Article

Authors

Otorhinolaryngology Department, Faculty of Medicine, Assuit, Egypt

Abstract

Background: The management of the posterior epistaxis is very challenging for any otorhinologist. Hot water irrigation (HWI) is a simple and non-invasive technique for the management of posterior epistaxis.
Objective:  To evaluate the efficacy of HWI in the management of posterior epistaxis including the advantages, complications, and factors affecting its success.
Methods: Forty-five patients with posterior epistaxis were included in this research. This is a prospective observational study.
Results: Using HWI, we achieved hemostasis in 39 patients (86.7%), two of them (4.4%) had complications in the form of minimal nasal adhesions. The mean hospital stay was 1.13 days (±0.344). The HWI failed in six patients (13.3%), we controlled epistaxis by anterior nasal packing (ANP) in four patients of them, and the remaining two patients by the posterior nasal pack.
Conclusions: HWI is a safe, efficient, and cost-effective treatment method for posterior epistaxis. This method has the additional benefits of less patient discomfort, less morbidity, less need for surgical intervention, and fewer days of hospitalization.
 

Keywords

Egyptian Journal of Neck Surgery and Otorhinolaryngology
Volume 8, Issue 3
December 2022
Pages 8-17

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