Endoscopic Cauterization For Epistaxis

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.