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FEW MEDICAL catastrophies engender more concern than a simple attack of epistaxis. When the onset is in the postoperative period, the apprehensiveness is increased. Instances of postoperative nasal hemorrhage of any magnitude are comparatively rare, considering the frequency of operative procedures upon the nose. The seriousness of this complication when it does occur, however, warrants thorough consideration by those who do nasal surgery. It is necessary to be confronted by only a single case of profuse postoperative nasal bleeding to realize the gravity of this problem. A specific type of standard procedure for management of such cases should be kept in mind to be applied when these emergencies arise. This procedure should be made a part of the intern-training program, for a good result in rhinoplasty is not infrequently jeopardized by an intern's overzealous packing. Furthermore, improper packing and the attendant manipulation may increase the bleeding.
There are three types
MAYER DM, SWANKER WA. POSTOPERATIVE NASAL BLEEDING. AMA Arch Otolaryngol. 1951;54(4):384–389. doi:10.1001/archotol.1951.03750100046006
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