Comparing Efficacy of Surgicel ® Application with Nasal Packing in Epistaxis

Aim: To evaluate the efficacy and tolerability of Surgicel ® application with transseptal suturing in epistaxis. Methods: Thirty-four patients who underwent therapy for epistaxis from Kiesselbach’s area, between January 2015 and August 2016, were retrospectively analyzed. As a treatment modality, anterior nasal packing (Merocel® tampon with airway) was inserted to 18 patients, and transseptal suturing combined with the Surgicel ® application was performed in 16 patients. The pain experienced during the procedure and compliance of the patients was evaluated using the NRS-11 morbidity scale that was administered during the control visits. Results: No significant difference was identified between the two groups regarding the efficacy of bleeding control. Transseptal suturing combined with the Surgicel ® application was tolerated better and had lower morbidity compared to nasal packing. Conclusion: This study showed that transseptal suturing with the Surgicel ® application is an effective and well-tolerated procedure in the treatment of anterior epistaxis.