Rhinitis medicamentosa as a cause of increased intraoperative bleeding.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 20824778.
- Also identified by DOI 10.1002/lary.21074.
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Abstract
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.
Medical subject headings
- Blood Loss, Surgical
- Nasal Mucosa
- Nasal Obstruction
- Rhinitis
- Turbinates