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2 results

  • Topical management of anterior epistaxis: a national survey

  • N Kara, C Spinou, Q Gardiner
  • Journal:
    The Journal of Laryngology & Otology / Volume 123 / Issue 1 / January 2009
    Published online by Cambridge University Press:
    18 June 2008, pp. 91-95
    Print publication:
    January 2009
  • 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.

  • Hypersensitivity to topical corticosteroids in otitis externa

  • S. M. Wilkinson, M. H. Beck
  • Journal:
    The Journal of Laryngology & Otology / Volume 107 / Issue 7 / July 1993
    Published online by Cambridge University Press:
    29 June 2007, pp. 597-599
    Print publication:
    July 1993

  • Over a12-monthperiod, nine patients were seen in a contact dermatitis clinic with an inflammatory dermatosis localized predominantly to the external auditory canal. Of these patients, four were found to have an allergic contact dermatitis which was exacerbating their dermatitis. All were allergic to one or more corticosteroids and topical antibiotics used in the treatment of their dermatitis. We would suggest that hypersensitivity to topical corticosteroids and other medicaments be considered in patients with otitis externa which fails to respond to treatment.