Berrylin J. Ferguson, MD, receives grant and research support from Genentech and Inverness, is a consultant for MEDA and Schering-Plough, and is a speaker for Schering-Plough. The authors have no other funding, financial relationships, or conflicts of interest to disclose.
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Sinonasal
Rhinitis medicamentosa as a cause of increased intraoperative bleeding†
Article first published online: 7 SEP 2010
DOI: 10.1002/lary.21074
Copyright © 2010 The American Laryngological, Rhinological, and Otological Society, Inc.
Additional Information
How to Cite
Robison, J. G., Pant, H. and Ferguson, B. J. (2010), Rhinitis medicamentosa as a cause of increased intraoperative bleeding. The Laryngoscope, 120: 2106–2107. doi: 10.1002/lary.21074
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Publication History
- Issue published online: 27 SEP 2010
- Article first published online: 7 SEP 2010
- Manuscript Accepted: 24 MAY 2010
- Abstract
- Article
- References
- Cited By
Keywords:
- Rhinitis medicamentosa;
- turbinate;
- hemorrhage;
- topical decongestants;
- oxymetazolin
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. Laryngoscope, 2010