Anterior nasal tamponade for bleeding

We remind you that independent interpretation of the results is unacceptable, the information provided below is for reference purposes only.

Anterior nasal packing is a medical procedure used to stop nosebleeds by inserting special tampons or hemostatic materials into the anterior part of the nasal cavity.
It is applied when simple bleeding control measures are ineffective and works by providing mechanical compression of the nasal mucosal vessels.

Indications

• Anterior epistaxis
• Failure of local compression and vasoconstrictor therapy
• Recurrent nosebleeds
• Nasal mucosal trauma
• Bleeding associated with arterial hypertension

Procedure / Duration

• The procedure is performed in an outpatient or inpatient setting.
• After preparation of the nasal mucosa (with anesthesia if needed), the physician inserts a sterile tampon or a special hemostatic material into the nasal cavity.
• Procedure duration: 10–20 minutes.
• The packing is usually left in place for 24–72 hours, depending on the clinical situation.

Contraindications

• Severe nasal septum deviation (relative)
• Allergy to materials or medications used
• Suspected posterior epistaxis (requires a different approach)

Recovery / Restrictions

• Discomfort and difficulty breathing through the nose while the packing is in place
• Do not remove the packing without medical supervision
• Limit physical activity
• Avoid overheating, hot food, and hot beverages
• After removal - keep the nasal mucosa moisturized and follow a gentle care regimen

Advantages

• Rapid and effective bleeding control
• Simple procedure
• Minimally invasive
• Can be performed in an outpatient setting
• Widely available method

Sources:

https://emedicine.medscape.com/article/80526-overview
https://www.merckmanuals.com/professional/ear,-nose,-and-throat-disorders/how-to-do-nose-procedures/how-to-treat-anterior-epistaxis-with-nasal-packing
https://www.sciencedirect.com/topics/medicine-and-dentistry/nasal-packing

IMPORTANT!

It is crucial to remember that the information provided in this section is not intended for self-diagnosis or treatment. If you experience pain or exacerbation of a condition, it is necessary to consult a doctor for diagnostic testing. Only a qualified specialist can make an accurate diagnosis and determine appropriate treatment. For the most accurate and consistent evaluation of test results, it is recommended to perform them in the same laboratory. This is because different laboratories may use different methods and units of measurement for similar tests.