Article Type
Article
Abstract
Backgorund: Epistaxis is one of the commonest emergency conditions in Otorhinolaryngology. It is classified anatomically into anterior and posterior nasal bleeding. Different materials had been used to stop posterior nasal bleeding.
Aim of work: Comparison between Foley’s catheter and ribbon gauze impregnated with antibiotic in nasal packing for posterior nasal bleeding.
Patients and Methods: A prospective study on one hundred patients presented to the emergency room with posterior nasal bleeding from July 2015 till December 2017. They were randomly classified on alternate patient basis into two equal groups where a Foley’s catheter was used as a nasal pack in group (1) and a ribbon gauze was used in group (2). Pain during insertion of the pack, while the pack was in situ and during removal was compared between both groups using a visual analogue scale. Incidence of re bleeding after pack removal, the incidence of mucosal tears and synechia formation were compared between both groups.
Results: Pain showed a highly significant difference between both groups being less in Foley’s catheter group. Re bleeding was more in the second group with a significant difference. Mucosal tears and synechia formation were less in the first group with a highly significant and significant difference respectively than in the second group.
Conclusion: Foley’s catheter packing is advisable in controlling posterior epistaxis as it showed less pain levels, less re bleeding rates and less complication incidence.
Keywords: Epistaxis, Foley’s catheter, visual analogue scale.
Recommended Citation
Abdel Tawab HM, Younes A.
Comparison between Foley's catheter and ribbon gauze packs in posterior epistaxis.
Pan Arab J. Rhinol.
2019;
9 : -.
Available at:
https://pajr.researchcommons.org/journal/vol9/iss1/9
