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The Egyptian Journal of Otolaryngology
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Use of bipolar coagulation diathermy for the management of recurrent pediatric epistaxis

The Egyptian Journal of Otolaryngology volume 32, pages 7–12 (2016)Cite this article

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Abstract

Background

There is a lack of consensus as regards the optimal approach to the problem of recurrent pediatric epistaxis.

Objective

The aim of this study was to evaluate the use of bipolar coagulation diathermy in the management of recurrent pediatric epistaxis.

Patients and methods

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.

Results

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.

Conclusion

Bipolar coagulation diathermy is an effective and safe procedure in the management of recurrent pediatric epistaxis.

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Authors and Affiliations

  1. Department of Head and Neck, Minia University Hospital, 122 Kornish El-Neel Street, Minia, Egypt, 61111

    Osama G. Abdel-Naby Awad MD & Montaser A. Hafez

  2. Department of Head and Neck, Minia Health Insurance Hospital, Minia, Egypt

    Mahmoud M. Hasan

Authors
  1. Osama G. Abdel-Naby Awad MD
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  2. Montaser A. Hafez
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  3. Mahmoud M. Hasan
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Correspondence to Osama G. Abdel-Naby Awad MD.

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Awad, O.G.AN., Hafez, M.A. & Hasan, M.M. Use of bipolar coagulation diathermy for the management of recurrent pediatric epistaxis. Egypt J Otolaryngol 32, 7–12 (2016). https://doi.org/10.4103/1012-5574.175795

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  • DOI: https://doi.org/10.4103/1012-5574.175795

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