Non-invasive treatment of intractable XXXX with hot-water irrigation.

@entity1 @entity1415 @entity548
Posterior nose @entity548 is a frequent and challenging emergency. The authors report their experience using hot water irrigation as a non-invasive treatment option for @entity1415 . Between January 2003 and January 2005 a group of 103 @entity1 were enrolled in this prospective study evaluating the effectiveness of a "hot water irrigation" technique to control acute posterior nose @entity548 . All @entity1 with @entity1415 were included, whereas @entity1415 was controlled using conventional methods. The @entity1 's nose was initially anaesthetized with topical Tetracain 4% (without vasoconstriction) and a modified @entity1415 was introduced into the @entity548 nasal cavity obstructing the choana. The @entity548 nasal cavity was continuously irrigated using 500 ml of 50 degrees C hot water. In a total of 84 @entity1 (82%) the @entity548 was successfully and permanently stopped. Forty-seven of these @entity1 (56%) regularly took antiplatelet agents or anticoagulants. The method failed in 19 of 103 @entity1 (18%). In the group with unsuccessful irrigation, 11 @entity1 (58%) were receiving treatment with antiplatelet agents or anticoagulants. Their proportion was not different from the successfully treated group. The success rate of hot water irrigation as non-invasive treatment of @entity1415 appears at least as effective as conventional methods. However it avoids painful packing, hospitalizations, or immediate surgery, and allows the @entity1 to breath normally through his open nasal cavities.
