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OXIDIZED CELLULOSE GAUZE PACKING FOR NASAL BLEEDING

MUSSER HOUSER

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Abstract

The rhinologist and the general practitioner will find many uses for oxidized cellulose gauze packing. In November 1945 Frantz and Lattes described this preparation and their initial experiences with it in various types of wounds. It is particularly valuable in securing hemostasis in certain nasal conditions. Spontaneous nasal hemorrhages that cannot be controlled by cauterization and therefore require packing are much more easily managed when this type of packing is used. Quite often when nonabsorbable gauze packing is used, even though the bleeding is controlled there is recurrence shortly after the packing is removed, mainly because of the adherence of this packing to the hemorrhagic mucosa. With ½ inch oxidized cellulose gauze packing this does not occur. It is inserted in sufficient quantity and with sufficient pressure to control the bleeding but is never removed. In about thirty-six hours too much disintegration has occurred to permit removal with forceps, and

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What this paper is about

The rhinologist and the general practitioner will find many uses for oxidized cellulose gauze packing. In November 1945 Frantz and Lattes described this preparation and their initial experiences with it in various types of wounds. It is particularly valuable in securing hemostasis in certain nasal conditions. Spontaneous nasal hemorrhages that cannot be controlled by cauterization and therefore require packing are much more easily managed when this type of packing is used. Quite often when nonabsorbable gauze packing is used, even though the bleeding is controlled there is recurrence shortly after the packing is removed, mainly because of the adherence of this packing to the hemorrhagic mucosa. With ½ inch oxidized cellulose gauze packing this does not occur. It is inserted in sufficient quantity and with sufficient pressure to control the bleeding but is never removed. In about thirty-six hours too much disintegration has occurred to permit removal with forceps, and

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Available abstract

The rhinologist and the general practitioner will find many uses for oxidized cellulose gauze packing. In November 1945 Frantz and Lattes described this preparation and their initial experiences with it in various types of wounds. It is particularly valuable in securing hemostasis in certain nasal conditions. Spontaneous nasal hemorrhages that cannot be controlled by cauterization and therefore require packing are much more easily managed when this type of packing is used. Quite often when nonabsorbable gauze packing is used, even though the bleeding is controlled there is recurrence shortly after the packing is removed, mainly because of the adherence of this packing to the hemorrhagic mucosa. With ½ inch oxidized cellulose gauze packing this does not occur. It is inserted in sufficient quantity and with sufficient pressure to control the bleeding but is never removed. In about thirty-six hours too much disintegration has occurred to permit removal with forceps, and

Key concepts: Nasal packing, Cauterization, Oxidized cellulose, Forceps, Medicine, Surgery, Hemostasis, Cellulose

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