Felek Sevim Aslan, Celik Hatice, Islam Ahmet, Demirci Munir
Ministry of Health Ankara Training and Research Hospital, 2nd E.N.T. Department, Talatpasa Bulvarı, Cebeci, Dortyol Postcode 06591 Ankara, Turkey.
Int J Pediatr Otorhinolaryngol. 2009 Oct;73(10):1390-3. doi: 10.1016/j.ijporl.2009.06.023. Epub 2009 Jul 25.
To investigate the feasibility, effectiveness and complications of bilateral simultaneous silver nitrate cauterization for anterior nasal septal epistaxis in otherwise healthy children.
Prospective study in a tertiary referral otorhinolaryngology department. Thirty-seven children with anterior epistaxis between the ages of 5-16 years were included in the study. The patients who had varicose vessels or network of small vessels in the Little's area had simultaneous bilateral silver nitrate cauterization.
Complete or near-complete epistaxis control was obtained in 76% of the patients after the first cauterization, and in 86% of the patients after the second cauterization in a mean follow-up period of 8 months. Partial success was obtained in five patients. The crusting in the cauterization area was healed late in six patients. Septal perforation, tattooing, or mucocutaneous/allergic reactions were not observed in any of the patients.
Bilateral silver nitrate cauterization is an effective, feasible, low-cost and preferable treatment method in childhood epistaxis when it is applied in an appropriate concentration and at an appropriate duration in a healthy mucosal environment.
探讨双侧同时应用硝酸银烧灼法治疗健康儿童鼻中隔前部鼻出血的可行性、有效性及并发症。
在一家三级转诊耳鼻喉科进行前瞻性研究。纳入37例年龄在5至16岁之间的鼻中隔前部鼻出血儿童。对在李氏区有静脉曲张或小血管网的患者进行双侧同时硝酸银烧灼。
在平均8个月的随访期内，首次烧灼后76%的患者鼻出血得到完全或近乎完全控制，第二次烧灼后86%的患者鼻出血得到完全或近乎完全控制。5例患者部分成功。6例患者烧灼区域的结痂愈合延迟。所有患者均未观察到鼻中隔穿孔、纹身或黏膜皮肤/过敏反应。
在健康的黏膜环境中，以适当的浓度和持续时间应用双侧硝酸银烧灼法治疗儿童鼻出血是一种有效、可行、低成本且较好的治疗方法。
