Nasal endoscope in posterior epistaxis: a preliminary evaluation.
ABSTRACT The findings of a preliminary, prospective evaluation of the role of endoscopy in the management of adult posterior epistaxis are presented. A cohort of patients managed by the endoscopic technique was compared with a control group managed by the traditional methods of nasal packing or epistaxis balloons. The endoscope allowed visualization and direct treatment of previously undiagnosed posterior bleeding points. Patients managed by the endoscopic technique had a significantly shorter duration of in patient stay than those managed by traditional methods.
- Operative Techniques in Otolaryngology-Head and Neck Surgery 06/1997; 8(2):85-89.
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ABSTRACT: Management of epistaxis is directly related to the site of the bleeding. The introduction of multi-angled rigid nasal endoscopes has refined the diagnostic capabilities of various conditions affecting nose and sinuses. The posterior epistaxis presents significant greater problems as bleeding is severe and treated with conventional packing can lead to increased morbidity and life-threatening complications. The precise location of a bleeding point with an endoscope has revolutionized the management of these difficult emergencies.Indian Journal of Otolaryngology and Head & Neck Surgery 01/1996; 5(1):75-77.
Article: Microendoscopy in rhinology[Show abstract] [Hide abstract]
ABSTRACT: The endoscope is well established as a useful tool in rhinology, but endoscopes with a diameter of less than 2.5 mm have yet to prove their worth. The tapered 1.7 mm conventional lens endoscope has great potential for out-patient examination, providing improved patient comfort with little sacrifice in visibility. The development of fused silica image bundles, made up of 4–5 (im diameter pixels has led to “microfibrescopes” of 0.5–1 mm diameter. While these can reach areas which are inaccessible to larger endoscopes, they are restricted by the amount of light which they can deliver and can only provide a view when close-up. These limitations restrict the use of microfibrescopes in paranasal sinus surgery, but they have potential in the diagnosis of disorders of the lacrimal system. The author's experience is discussed.Minimally Invasive Therapy & Allied Technologies 01/1998; 7(2):149-154. · 1.18 Impact Factor