What are potential complications of treatment of epistaxis (nosebleed)?

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

Potential treatment complications include the following :

  • Cauterization - Synechia, septal perforation

  • Anterior packing - Synechia, rhinosinusitis, toxic shock syndrome, eustachian tube dysfunction, scarring of the nasal ala and columella

  • Posterior packing - Synechia, rhinosinusitis, toxic shock syndrome, eustachian tube dysfunction, dysphagia, scarring of nasal ala and columella, hypoventilation, sudden death

  • Transantral internal maxillary artery ligation - Anesthetic risks, rhinosinusitis, oroantral fistula, infraorbital numbness, dental injury

  • Transoral internal maxillary artery ligation - Anesthetic risks, cheek numbness, trismus, tongue paresthesia

  • Anterior or posterior ethmoidal artery ligation - Anesthetic risks, rhinosinusitis, lacrimal duct injury, telecanthus, blindness

  • Embolization - Facial pain, trismus, facial paralysis, skin necrosis, blindness, stroke, groin hematoma


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