1Postgraduate Student, Deptt. of ENT, Govt. Medical College, Srinagar, J&K
2Senior Resident, Deptt. of ENT, Govt. Medical College, Srinagar, J&K
3Professor ENT, Govt. Medical College, Srinagar, J&K
*Corresponding author: Rahil Muzaffar. C/O: Dr. Muzaffar Ali R/O: Hilal Abad Colony, Sector 1, Qamarwari, Srinagar, J&K, India-190010 Email-id: rahil_muzaffar@yahoo.com, Mobile No. +919858321825
Online published on 1 October, 2015.
Prospective comparative study.
This comparative study was conducted in the department of ENT & HNS SMHS hospital, an associated hospital of Government Medical College Srinagar, from 01/10/2012 to 01/03/2013. In this prospective comparative study we included 58 patients of posterior epistaxis, 30 of them were managed by modified irrigation technique and rest of 28 patients were managed by conventional nasal packing.
With modified irrigation technique we were able to achieve haemostasis in 22 patients with a success rate of 73.3%. While the success rate in case of conventional nasal packing was 85%. The complications of nasal packing like crusting and adhesions were significantly less with modified irrigation technique. Mean hospital stay with modified irrigation was also significantly less.
Although hot water irrigation has less success rate as compared to the conventional nasal packing but it should be considered as an alternative method in the management of posterior Epistaxsis considering its cost benefit effect and less complication rate as compared to the conventional nasal packing.
Epistaxsis, Crust, Adhesion
