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Effective Control of Postnasal Hemorrhage
WILLIAM H. SAUNDERS, M.D.
AMA Arch Otolaryngol. 1956;64(4):291-292.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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The usual method of controlling epistaxis from the posterior nose is through use of a postnasal pack. Unfortunately, the postnasal pack has several serious disadvantages. First, it is exceedingly uncomfortable to the patient. Second, it commonly causes middleear complications. Third, postnasal packs are too often used as an expedient when a more careful examination might disclose bleeding from a site amenable to local packing.
Recent articles by Hallberg,1 Neivert,2 and others emphasize the advantage of Postnasal packs which fit one choana only. Their packs are shaped so as to provide pressure in the posterior nose rather than in the nasopharynx, where a larger pack may obstruct the Eustachian tube. Directions and illustrations for the construction of packs accompany the articles.*
Just as effective as the conventional postnasal pack and infinitely more pleasant is a small pack placed directly at the bleeding site. Fortunately, insofar as the use of
. . . [Full Text PDF of this Article]
Author Affiliations
Columbus Ohio
Associate Professor, Department of Otolaryngology, The Ohio State University Medical Center.
Footnotes
Accepted for publication May 28, 1956.
Another effective pack which meets the above criteria and has the additional advantage of availability is the Med vaginal tampon. With the use of scissors, one-quarter of the length of the tampon is removed from each end and the center portion thinned. With the stout strings readjusted at the center, this tampon makes an excellent postnasal pack which fits one choana only and will not obstruct the Eustachian tube. One additional string can be attached for easy removal (Fig. 1).
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