What are the best treatments for epistaxis (nosebleed)?

Updated: May 08, 2020
  • Author: Quoc A Nguyen, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

A retrospective study by Newton et al of emergency department (ED) management of 353 adult cases of primary anterior epistaxis found silver nitrate cauterization to have the highest treatment success rate (80%). The highest rates of patients returning to the ED for recurrence of epistaxis occurred after treatment with nasal clips, Merocel, or petroleum gauze packing. However, the investigators could not say whether the differences in treatment results indicated that certain treatments were more effective or that physicians tended to offer certain treatments in the most severe cases (ie, those most likely to recur). [20]


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