Posterior epistaxis remains a serious health problem. Modification of a traditional posterior pack using a Foley catheter has proved to be an effective method of treating these sites of severe posterior bleeding. Technological advancements in the form of a PCA infuser and pulse oximetry have allowed better control of packing-associated pain and identification Of potential hypoxic Complications
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References
1.
GoodeR.A new nasal ballon for the control of posterior nosebleeds. OTOLARYNGOL HEAD NECK SURG1991; 104: 240.
2.
McGarryGWAitknD.Intranasal balloon catheters: how do they work? Clin Otolaryngol1991;16:388–92.
3.
CassisiNJBillerHFOguraJH. Changes in arterial oxygen tension and pulmonary mechanics with use of posterior packing in epistaxis. Laryngoscope1971;81:1261–6.
4.
SlocumCWMaiselRHCantrellRW. Arterial blood gas determination in patients with anterior packing. Laryngoscope1976;86:869–73.
5.
CookTAKomurnRM. Statistical analysis of the alteration of blood gases produced by nasal packing. Laryngoscope1972;82:1802–9.
6.
JensenPFKristensenS.Episodic nocturnal hypoxia and nasal packs. Clin Otolaryngol1991;16:433–5.
7.
VaartjesM.StrigersRLMDeVriesN.Posterior nasal packing and sleep apnea. Am J Rhinol1992;6:71–4.
8.
CumberworthVLNarolaAABradleyPJ. Prospective study of two management strategies for epistaxis. J Roy Coll Surg Edinburgh1991;36:259–60.
9.
MetsonR.LaneR.Internal maxillary artery ligation for epistaxis: an analysis of failures. Laryngoscope1988;98:760–4.
10.
StrutzJ.SchumacherM.Uncontrollable epistaxis: angiographic localization and embolization. Arch Otolaryngol Head Neck Surg1990;116:697–9.
11.
WehrliM.LieberherrU.ValavanisA.Super selective embolization for intractable epistaxis: experiences with 19 patients. Clin Otolaryngol1988;13:415–20.
12.
PremachandraDJ. Management of posterior epistaxis with the use of the fiberoptic nasolaryngoscope. J Laryngol Otol1991;105:17–9.
13.
McGarryGW. Nasal endoscope in posterior epistaxis: a preliminary evaluation. J Laryngol Otol1991;105:428–31.
14.
BendeM.PipkornV.Topical terlipressin (glypressin) gel reduces nasal mucosal blood flow but leaves ongoing nose-bleeding unaffected. Acta Otolaryngol1990;110:124–7.
15.
WhiteA.O'ReillyBF. Oral tranexamic acid in the management of epistaxis. Clin Otolaryngol1988;13:11–6.
16.
CannonCR. Patient controlled analgesia (PCA) in head and neck surgery. OTOLARYNGOL HEAD NECK SURG1990;103:748–51.
17.
CannonCR. Pulse oximetry monitoring in patients with nasal packing [abstr]. OTOLARYNGOL HEAD NECK SURG1990; 103: 250.
