同时灼烧流鼻血儿童的两侧鼻中隔安全吗?

IF 1.7 4区 医学 Q2 OTORHINOLARYNGOLOGY
Ivy Drake, Hazel Fountain, Haytham Kubba
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引用次数: 0

摘要

目的:对于双侧鼻衄的患儿,通常建议每次只烧灼一侧鼻中隔,以降低鼻中隔穿孔的风险。在常用热丝电灼时,这种建议可能是合理的。硝酸银烧灼术后鼻中隔穿孔的风险尚不清楚,但可能很低:对2019年至2022年期间到护士主导的鼻衄门诊就诊的儿童进行回顾性病例回顾:2019年1月至2022年12月期间,有920名儿童在护士主导的门诊就诊。六百零一名儿童(79%)接受了鼻腔烧灼术。176名儿童(29%)同时进行了双侧鼻腔烧灼。随访时间从 303 天到 1744 天不等,中位数为 809.5 天。没有患儿因鼻中隔穿孔或双侧鼻腔同时烧灼术的其他并发症而到急诊或耳鼻喉科就诊:据笔者所知,这是评估儿童双侧鼻腔同时使用硝酸银烧灼术安全性的最大规模研究。同时对两侧鼻中隔进行烧灼后未发现不良后果,而且这样做可能会为患者和医疗服务部门节省时间和金钱。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Is It Safe to Cauterise Both Sides of the Nasal Septum at the Same Time in Children With Nosebleeds?

Objective: It is often recommended that, in children with bilateral epistaxis, only one side of the nasal septum should be cauterised at a time in order to reduce the risk of septal perforation. This advice may have been reasonable when hot wire electrocautery was in common use. The risk of septal perforation after silver nitrate cautery is unknown but probably low.

Methods: Retrospective case note review of children attending the nurse-led epistaxis clinic between 2019 and 2022.

Results: Nine hundred and twenty children were seen in the nurse-led clinic between January 2019 and December 2022. Six hundred and one children (79%) underwent nasal cautery. Simultaneous bilateral nasal cautery was carried out in 176 (29%) children. Our follow up period ranged between 303 and 1744 days, with a median of 809.5 days. No child presented to emergency or ENT services with septal perforation or any other complication of simultaneous bilateral nasal cautery.

Conclusion: To the author's knowledge, this is the largest study assessing the safety of simultaneous bilateral nasal cautery with silver nitrate in children. No adverse results have been found after cauterising both sides of the septum at the same sitting, and doing so potentially saves time and money for patients and the health service.

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来源期刊
Clinical Otolaryngology
Clinical Otolaryngology 医学-耳鼻喉科学
CiteScore
4.00
自引率
4.80%
发文量
106
审稿时长
>12 weeks
期刊介绍: Clinical Otolaryngology is a bimonthly journal devoted to clinically-oriented research papers of the highest scientific standards dealing with: current otorhinolaryngological practice audiology, otology, balance, rhinology, larynx, voice and paediatric ORL head and neck oncology head and neck plastic and reconstructive surgery continuing medical education and ORL training The emphasis is on high quality new work in the clinical field and on fresh, original research. Each issue begins with an editorial expressing the personal opinions of an individual with a particular knowledge of a chosen subject. The main body of each issue is then devoted to original papers carrying important results for those working in the field. In addition, topical review articles are published discussing a particular subject in depth, including not only the opinions of the author but also any controversies surrounding the subject. • Negative/null results In order for research to advance, negative results, which often make a valuable contribution to the field, should be published. However, articles containing negative or null results are frequently not considered for publication or rejected by journals. We welcome papers of this kind, where appropriate and valid power calculations are included that give confidence that a negative result can be relied upon.
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