Endoscopic Cauterization For Epistaxis

Survey

Indications:

  • Control of epistaxis

Highlights:

  • Specific bleeding site is identified with the use of an endoscope.
  • Suction monopolar cautery or bipolar cautery is used in order to control the bleeding.

Keep in Mind/Things to Remember:

  • Post-ESS bleeding most commonly occurs from a bleeding middle turbinate remnant.
  • Spontaneous posterior epistaxis often occurs from a posterior septal vessel, which is difficult to visualize with headlight.
  • Extensive cauterization of septum may lead to perforation.