Epistaxis - treatment

Endoscopic cautery -

Nasal endoscopes have revolutionarised the treatment of epistaxis. Patients used to suffer with the agony of post nasal packs many times in intractable cases. Now we can examine the nasal cavity with an endoscope and pin point the area of bleeding. This area can now be cauterized by either biolar cautery or with an insulated metallic suction tube whose tip is non insulated. When connected with monopolar diathermy, the tip coagulates the bleeding area.