How is epistaxis treated if bleeding cannot be controlled?

Updated: May 09, 2018
  • Author: Eric Goralnick, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
  • Print
Answer

Answer

If bleeding cannot be controlled, otolaryngologic consultation is necessary. Advanced hemostatic measures may also be necessary, as follows:

  • Arterial embolization [10]

  • Arterial ligation (internal maxillary, sphenopalatine)

  • Nasal septal dermoplasty

  • Laser ablation

  • Aminocaproic acid for bleeding diatheses such as hereditary hemorrhagic telangiectasia (Osler-Weber-Rendu syndrome) [11]


Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!