Most cases of epistaxis are caused by a rupture of a small blood vessel in the vascular area in the lower anterior portion of the septum, sometimes known as Kiesselbach's area. Here, because of trauma (digital scratching, external trauma or too forceful blowing of the nose) or because of certain constitutional disorders, i. e., infectious diseases, hypertension, local inflammation, drug poisoning, vicarious menstruation, etc., bleeding may occur.
In all cases a careful history should be taken. The possibility of a constitutional disorder must be considered and, when found, corrected, if possible.
The commonest methods heretofore used to stop bleeding in this region have been the use of nasal packing, the use of chemical caustics, such as chromic acid or tri-chloracetic acid, and actual cautery.
Recently, I1 reported the use of sclerosing solutions in cases of various types of hypertrophy of the inferior turbinate in which other nonsurgical types
MONSON LP. TREATMENT OF NASAL HEMORRHAGES BY THE USE OF SCLEROSING SOLUTIONS. Arch Otolaryngol. 1936;23(4):487–488. doi:10.1001/archotol.1936.00640040496012
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