Some cases of epistaxis are chronic and resistant to treatment. We describe a novel method of treating persistent epistaxis with Silastic splints. This procedure is simple to perform and reverse, and it is much better tolerated than is total obstruction of the nostrils (Young's procedure). In addition, the presence of the splints reduces the likelihood of digital trauma, which can prevent healing. We describe the case of a 43-year-old man with a 5-year history of persistent epistaxis who was successfully treated with this procedure.
References
1.
YoungA.Closure of the nostrils in atrophic rhinitis. J Laryngol Otol1967;81:515–24.
2.
SerranoE, PercodaniJ, PesseyJJ. [Bilateral closure of the nasal cavity. An original surgical technique of treatment of severe recurrent epistaxis in Rendu-Osler disease]. Ann Otolaryngol Chir Cervicofac1998;115:169–73.
3.
HosniAA, InnesAJ. Hereditary haemorrhagic telangiectasia: Young's procedure in the management of epistaxis. J Laryngol Otol1994;108:754–7.
4.
GluckmanJL, PortugalLG. Modified Young's procedure for refractory epistaxis due to hereditary hemorrhagic telangiectasia. Laryngoscope1994;104:1174–7.
5.
LundVJ, HowardDJ. Closure of the nasal cavities in the treatment of refractory hereditary haemorrhagic telangiectasia. J Laryngol Otol1997;111:30–3.
6.
BrookerDS, CinnamondMJ. Young's procedure in the treatment of epistaxis. J Laryngol Otol1991;105:847–8.
7.
ShahJT, KarnikPP, ChitaleAR, NadkarniMS. Partial or total closure of the nostrils in atrophic rhinitis. Arch Otolaryngol1974;100:196–8.
8.
SinhaSN, SardanaDS, RajvanshiVS. A nine years’ review of 273 cases of atrophic rhinitis and its management. J Laryngol Otol1977;91:591–600.
9.
LoboCJ, HartleyC, FarringtonWT. Closure of the nasal vestibule in atrophic rhinitis—a new non-surgical technique. J Laryngol Otol1998;112:543–6.
10.
LoboCJ, HartleyC, FarringtonWT. Vestibular closure with a silastic obturator—an alternative to Young's procedure in bleeding diathesis. Rhinology1999;37:131–2.
BurkeJF, YannasIV, QuinbyWCJr., Successful use of a physiologically acceptable artificial skin in the treatment of extensive burn injury. Ann Surg1981;194:413–28.
13.
PrystowskyJH, SiegelDM, AschermanJA. Artificial skin for closure and healing of wounds created by skin cancer excisions. Dermatol Surg2001;27:648–53.
