How is the anterior nasal packing for epistaxis performed?

Updated: May 09, 2018
  • Author: Eric Goralnick, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Anterior packing with gauze begins similarly, with the application of anesthetic to the nasal mucosa with cotton balls or via inhalation. Prepare a length of ribbon gauze impregnated with petrolatum jelly. Use bayonet forceps and a nasal speculum to place the gauze in a layered, accordion fashion, packing it from anterior to posterior (see the image below). The gauze should be placed as far posteriorly as is possible.

Nasal packing with bayonet forceps and ribbon gauz Nasal packing with bayonet forceps and ribbon gauze.

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