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July 1987

Epistaxis: Medical vs Surgical Therapy: A Comparison of Efficacy, Complications, and Economic Considerations

Author Affiliations

Salt Lake City

Arch Otolaryngol Head Neck Surg. 1987;113(7):701-703. doi:10.1001/archotol.1987.01860070015003

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Barry Schaitkin, MD, and associates, of the Division of Otolaryngology—Head and Neck Surgery, Milton S. Hershey Medical Center, Hershey, Pa, have conducted a retrospective review of four years' experience regarding 32 patients with epistaxis who required hospitalization. An analysis was made comparing results, complications, and financial implications for patients who received medical therapy alone vs those patients who were unable to be treated by medical therapy alone and who required surgery. Sixteen patients failed a trial of packing and required arterial ligation prior to or within a week of discharge from the hospital. There was a 47% complication rate in this group, including early recurrent epistaxis (two patients), late bleeding (two patients), myocardial infarction with cardiac arrest at extubation (one patient), T-wave inversion without infarction (one patient), intranasal synechiae (three patients), oroantral fistulas (two patients), and septal perforation (one patient). The average total bill for this group was $9750 ($7374,

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