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September 1955


Author Affiliations

Santa Rosa, Calif.

AMA Arch Otolaryngol. 1955;62(3):331-332. doi:10.1001/archotol.1955.03830030097019

Bleeding which occurs from the 3rd to the 14th day after an operation has always been a source not only of great annoyance and worry to me but also something of a mystery. Bleeding at this time is usually from a capillary bed rather than from a big vessel, has a strong tendency to recurrence over several days' time, and is difficult to control. One cannot pick up a bleeding point with a hemostat and tie it off. Caustics are sometimes helpful. Pressure on the area, especially with epinephrine, controls it as long as the epinephrine is effective and/or the pressure is maintained. But, as in the nose or the adenoid region, it is easy for a packing to slip a little or not be on the exact spot. In that case, one can expect an exasperating call to the effect that the area is bleeding again. After the 14th