Long-term efficacy of Nd:YAG laser photocoagulation vs. liquid paraffin plus antiseptic cream in the treatment of recurrent epistaxis
| Autor: | Chunsheng Wei, Jing Zhang, Rongxing Qiu |
|---|---|
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Visual Analog Scale medicine.drug_class Administration Topical Liquid paraffin Lasers Solid-State Light Coagulation Recurrent epistaxis Anterior epistaxis Antiseptic Recurrence Humans Medicine Single-Blind Method Prospective Studies business.industry Chlorhexidine Neomycin General Medicine Anti-Bacterial Agents Surgery Drug Combinations Epistaxis Otorhinolaryngology Paraffin Nd:YAG laser photocoagulation Nd:YAG laser Anesthesia Anti-Infective Agents Local Female Neurosurgery business Oils Follow-Up Studies |
| Zdroj: | European Archives of Oto-Rhino-Laryngology. 272:3721-3725 |
| ISSN: | 1434-4726 0937-4477 |
| DOI: | 10.1007/s00405-015-3502-3 |
| Popis: | The objective of this study was to evaluate the long-term efficacy of Nd:YAG laser photocoagulation with that of liquid paraffin plus antiseptic cream in the management of recurrent epistaxis. Eighty consecutive patients who suffered from recurrent anterior epistaxis presented to the Otolaryngology Department at the Eye and ENT Hospital, Fudan University between February 2011 and June 2011. These patients with histories of recurrent epistaxis were randomly assigned to receive treatment in an outpatient setting consisting of either a combination of liquid paraffin plus antiseptic cream (Group 1) or Nd:YAG laser photocoagulation (Group 2). Main outcome measures: the following outcome measures were assessed: bleeding intensity; bleeding frequency 2 years after treatment (0 = no bleeding, 1 = reduced bleeding, 2 = the same, 3 = worse), participant’s perception of discomfort during the management (grade 0–10, where 10 is the worst pain), and complications. Finally, 70 patients remain in our study. At 2 years, 86 % of laser patients versus 31 % of control patients had no reported bleeding. The outcome score at 2 years after treatment showed a significant difference between the two groups (P = 0.000, P |
| Databáze: | OpenAIRE |
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