An international survey on the pragmatic management of epistaxis

Epistaxis is one of the most common ear, nose and throat emergencies. The management of epistaxis has evolved significantly in recent years, including the use of nasal cautery and packs. However, a correct treatment requires the knowledge of nasal anatomy, potential risks, and complications of treatment. Epistaxis is often a simple and readily treatable condition, even though a significant bleed may have potentially severe consequences. At present, there are very few guidelines concerning this topic. The current Survey explored the pragmatic approach in managing epistaxis. A questionnaire, including 7 practical questions has been used. The current International Survey on epistaxis management reported a relevant prevalence (21.7%), mainly during childhood and senescence, an important hospitalization rate (11.8%), the common use of anterior packing and electrocoagulation, and the popular prescription of a vitamin supplement and intranasal creams

Histological and ultrastructural changes in rabbit's nasal turbinate after use of radiofrequency thermal ablation

Morphological and Ultrastructural properties of changes caused by use of radiofrequency wave energy - RFTA (500 J, 70°C) in rabbit's lower nasal turbinate mucous membrane was studied. It proved that 7 days later this influence causes morphological and ultrastructural changes in the mucous membrane of the turbinate such as disorders of the epithelium, shortening of cilia and decrease in their number or disappearance, degeneration of microtubular pairs, dinein arms, thickening in basal membrane, irregularity, and subepithelial fibrosis. 8 weeks after influence of radiofrequency wave disorders in epithelium, cilia and basal membrane are diminished, at the same time subepithelial fibrosis remains at the level of the 7th day of the influence. By the time, these changes may be evaluated as indices of continuation of regenerative process in turbinates, decrease in their volume and nasal obstruction