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Topical management of anterior epistaxis: a national survey

Published online by Cambridge University Press:  18 June 2008

N Kara ,
C Spinou  and
Q Gardiner
N Kara*
Affiliation:
Department of Otolaryngology, Ninewells Hospital, Dundee, Scotland, UK
C Spinou
Affiliation:
Department of Otolaryngology, Ninewells Hospital, Dundee, Scotland, UK
Q Gardiner
Affiliation:
Department of Otolaryngology, Ninewells Hospital, Dundee, Scotland, UK
*
Address for correspondence: Mr Naveed Kara, c/o Department of Otolaryngology, Freeman Hospital, Newcastle upon Tyne, NE7 7DN. E-mail: naveedkara@gmail.com
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Abstract

Introduction:

The use of nasal creams and ointments in the conservative management of anterior epistaxis is well documented and supported. This study set out to obtain a national opinion, in order to establish current practice.

Design:

A survey of all Scotland-based otolaryngology clinicians was conducted. Participants were asked which topical treatment they used in their practice, how often and for how long they advocated its use, and how they advised their patients to apply it.

Results:

The overall response rate was 91 per cent. We discuss and compare the varying responses for the questions posed, and discuss the possible reasons for these in greater detail.

Conclusions:

This study demonstrates a high degree of variation in this practice, arising from a lack of concrete evidence and influenced by anecdotal experience and personal preferences. Definitive comparative studies are required if a ‘gold standard’ topical approach for the management of anterior epistaxis is to emerge.

Keywords

EpistaxisCreamsOintmentsMupirocinChlorhexidine
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 1 , January 2009 , pp. 91 - 95
Copyright
Copyright © JLO (1984) Limited 2008

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