Rhinitis Medicamentosa as a Cause of Increased Intraoperative Bleeding

被引:4
作者
Robison, Jacob G. [1 ]
Pant, Harshita [1 ,2 ]
Ferguson, Berrylin J. [1 ]
机构
[1] Univ Pittsburgh, Sch Med, Dept Otolaryngol, Pittsburgh, PA 15219 USA
[2] Univ Adelaide, Dept Otolaryngol Head & Neck Surg, Adelaide, SA, Australia
关键词
Rhinitis medicamentosa; turbinate; hemorrhage; topical decongestants; oxymetazolin;
D O I
10.1002/lary.21074
中图分类号
R-3 [医学研究方法]; R3 [基础医学];
学科分类号
1001 ;
摘要
Rhinitis medicamentosa occurs with repeated and prolonged use of topical decongestants. The resultant reduced ability to respond to decongestants mediated via enlarged capillary endothelial gaps can lead to profuse bleeding during turbinate surgery. We recommend that patients with rhinitis medicamentosa be weaned off topical decongestants prior to elective turbinate surgery to minimize this complication. The management of rhinitis medicamentosa and a case of intraoperative hemorrhage are presented.
引用
收藏
页码:2106 / 2107
页数:2
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