Treatment of children with epistaxis: A 3 year follow up

The aetiology is largely unknown, but crusting, bacterial colonisation and digital trauma are presumed factors [2]. There is little evidence regarding the efficacy of treatment. However, limited randomized controlled trials have demonstrated that Vaseline is ineffective [3] and Naseptin is more effective than observation [4] and as effective as cautery alone [5] or combination treatment with cautery and Naseptin [6].

[1]  H. Kubba,et al.  A double-blind randomized controlled trial of management of recurrent nosebleeds in children , 2009, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[2]  H. Kubba,et al.  Long-term effectiveness of antiseptic cream for recurrent epistaxis in childhood: five-year follow up of a randomised, controlled trial , 2008, The Journal of Laryngology & Otology.

[3]  R. Cathcart,et al.  A prospective, single-blind, randomized controlled trial of petroleum jelly/Vaseline for recurrent paediatric epistaxis. , 2004, Clinical otolaryngology and allied sciences.

[4]  M. O'Donnell,et al.  A prospective, single-blind, randomized controlled trial of antiseptic cream for recurrent epistaxis in childhood. , 2001, Clinical otolaryngology and allied sciences.

[5]  L. Mcclymont,et al.  A randomised clinical trial of antiseptic nasal carrier cream and silver nitrate cautery in the treatment of recurrent anterior epistaxis. , 1999, Clinical otolaryngology and allied sciences.

[6]  D. Proops,et al.  Management of epistaxis in children. , 1991, International journal of pediatric otorhinolaryngology.

[7]  J. Siegel Epistaxis in children: causes, diagnosis and treatment. , 1991, Ear, nose, & throat journal.