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March 1965

Method of Controlling Hemorrhage in the Hypopharynx

Author Affiliations

Chief Resident, Department of Otolaryngology, Albany Medical College (Dr. Lapidot), and Chief, Department of Otolaryngology, Veterans Administration Hospital (Dr. Ramm).

Arch Otolaryngol. 1965;81(3):226. doi:10.1001/archotol.1965.00750050235004

IGLAUER WAS the first man to describe the use of the postnasal pack in the control of posterior nasal bleeding. On searching the literature, no review describing a procedure for arresting uncontrolled hemorrhage in the hypopharynx short of radical surgery was found.

Report of Case  A 70-year-old white male was seen in consultation at the United States, Veterans Administration Hospital by the ENT Department because of hoarseness. On examination, a paralyzed right true vocal cord was found. An ulcerated area was seen in the lateral wall of the right pyriform sinus just superior to the apex. Biopsy of this area was performed. After this, there was a moderate amount of hemorrhage which appeared to be controlled with local pressure. However, after return to the ward, bleeding recurred. Several hours later, he was found to be bleeding profusely, the volume of loss being estimated at 1,000 ml.An attempt to control

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