Abstract
Abstract There is a lack of consensus as regards the optimal approach to the problem of recurrent pediatric epistaxis. The aim of this study was to evaluate the use of bipolar coagulation diathermy in the management of recurrent pediatric epistaxis. This prospective study was conducted on 75 pediatric patients (6-15 years) with recurrent epistaxis, who were evaluated and treated with bipolar diathermic cautery during a 6-month follow-up period. During the follow-up period, 65 (87%) patients had complete absence of epistaxis with significant improvement (P ≤ 0.05), nine (12%) patients had less than 10 attacks of epistaxis, and one patient had more than 10 attacks and was controlled with another trial of bipolar diathermic cautery. Patients with normal coagulation profile had significantly better results compared with patients with coagulation defects. Patients had no complications after the procedure. Bipolar coagulation diathermy is an effective and safe procedure in the management of recurrent pediatric epistaxis.
Highlights
Epistaxis (Greek for nose bleed) has been affecting humans since ancient times, often causing ill-founded anxiety in patients
Eighteen (24%) patients presented during the spring, 20 (27%) patients presented during the fall, seven (9%) patients presented during the winter, and 30 (40%) patients presented during the summer (Table 1)
30 (40%) patients were affected on the right side and 35 (60%) patients on the left side
Summary
Epistaxis (Greek for nose bleed) has been affecting humans since ancient times, often causing ill-founded anxiety in patients. The majority of epistaxis episodes in children is of local origin and rarely requires resuscitation. Ninety percent of epistaxis in children originates from Little’s area in the anterior part of the nose, often being either idiopathic or the result of trauma. Posterior epistaxis is uncommon in children and is usually the result of bleeding disorders, inflammatory disorders, or neoplasms [5]. There is no consensus as to the best approach for the evaluation of pediatric epistaxis [6,7]. No therapy has been proven to be safe, effective, and of use in both simple anterior epistaxis and posterior bleeds that have proven refractory to other methods [7]. There is a lack of consensus as regards the optimal approach to the problem of recurrent pediatric epistaxis
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