Joint Laser Photocoagulation and Bipolar Electrocautery in Treating Epistaxis

Jing Zhang

Departments of Facial Plastic Surgery, Eye, Ear, Nose and Throat Hospital, Fudan University, Shanghai, China

^*Correspondance to: Jing Zhang 

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Abstract:

Objectives: To assess the effectiveness of Nd:YAG laser photocoagulation alone and bipolar electrocautery alone compared to joint application in the management of epistaxis. Materials and Methods: Prospective clinical research. Ninety-three successive patients with epistaxis were randomly allocated to receive treatment consisting of Nd:YAG laser photocoagulation (Group 1), bipolar electrocautery (Group 2) or joint application (Group 3) in an outpatient setting. Main outcome measures: Including bleeding intensity, bleeding frequency at 4 weeks and 20 weeks after treatment, patient perception of discomfort during treatment (grade 0 to 10), treatment duration and complications. Results: The time of therapy of the laser group was significantly longer than other two groups (P<0.05). The outcome scores at 4 weeks after therapy showed no significant difference between these three groups. However, the outcome scores at 20 weeks after therapy showed a significant difference between the three groups (P<0.05). The effect on the bipolar cautery group was relatively poorer than those on the laser group and joint group. Conclusion: This study demonstrates that Nd:YAG laser plus bipolar electrocautery treatment in epistaxis is a safe and simple therapy that is relatively superior to Nd:YAG laser photocoagulation or bipolar cautery alone.

Keywords:

Epistaxis; Nd:YAG laser; Photocoagulation; Bipolar Electrocautery; Optimal

Cite the Article:

Zhang J. Joint Laser Photocoagulation and Bipolar Electrocautery in Treating Epistaxis. World J Surg Surgical Res. 2022; 5: 1373..