Nasal packing is commonly used for hemostasis post nasal surgeries. It cheap, easily available and routinely practiced in many centres. However, they may be associated with complications. Some of the complications include pain during removal, damage or injury to mucosa leading synechiae formation, crusting, septal perforation. We describe a case 39-year-old gentleman who underwent septoturbinop...

Among the major complications of transsphenoidal surgery, less attention has been given to severe postoperative epistaxis, which can lead to devastating consequences. In this study, we reviewed 551 consecutive patients treated over a 4 year period by the senior author to evaluate the incidence, risk factors, etiology and management of immediate and delayed post-transsphenoidal epistaxis. Eighte...

This study aimed to analyze the results of a modified continuous quilting sutures technique in a series of patients presenting with hematoma and/or abscess of nasal septum (HANS). Only patients with a confirmed diagnosis of HANS without co-morbid conditions (which could predispose to a bleeding tendency), were selected. Following incision and drainage, nasal septal flaps were coapted by applyin...

M.AH, female, 54 years, born and raised in São Paulo, with repetition epistaxis, nasal obstruction and hyposmia for two years. A solid tumor was found in her nose, coming from the middle meatus and partially obstructing her left nasal cavity. We performed a contrasted CT scan of her paranasal sinuses and a nasofibroscopy with biopsy. The material was then sent for a pathology exam and immunohis...

A short questionnaire on the subject of the management of epistaxis was sent to forty accident & emergency departments in two NHS regions. Thirty replies were received (response of 75%). It was found that all departments were involved in the initial management of epistaxis, but the extent of that involvement varied considerably. One of the most obvious factors contributing towards the degree of...

The first mention of epistaxis in medical literature dates back in the year 18672. Bleeding originating from the anterior nasal cavity was managed with packing the nostril with pledgets. When the bleeding was originating from the posterior nasal cavity, a pledget secured in a wire was passed down the nostril to tamponade the posterior nasal space and arrest the bleed. In 1901, McKenzie started ...

We present the case of a 9-year-old male patient, lacking morbid antecedents, referred to our service due to 2 episodes of massive epistaxis. The first one was selflimiting, while the second required anterior nasal packing. Physical examination revealed a tumour in the left nostril, with a vascularised appearance. The initial diagnosis was nasopharyngeal angiofibroma, due to the appearance of t...

INTRODUCTION The presence of a foreign body in the nose is a relatively uncommon occurrence. Many unusual foreign bodies in the nose have been reported in the literature, but no case of a nasal packing occurring as a foreign body in the nasal cavity for a prolonged time has been found. CASE PRESENTATION We describe a unique case of the largest foreign body left in situ in the nasal cavity for...