Endoscopic bipolar diathermy in the management of epistaxis: an effective and cost-efficient treatment

Clin Otolaryngol Allied Sci. 2003 Jun;28(3):273-5. doi: 10.1046/j.1365-2273.2003.00709.x.


Epistaxis is one of the most frequently managed otorhinolaryngological emergencies. This prospective study over a 4-month period involved 38 adult patients presenting with epistaxis who underwent endoscopic bipolar diathermy under local anaesthesia. Thirty-four (89%) of the 38 adults were successfully treated and 28 (74%) of the patients did not require admission. Based on a simple cost-benefit analysis of savings made by avoiding admission, successful immediate treatment of these 28 patients led to a potential saving of at least pound 6804.00. We conclude endoscopic bipolar diathermy under local anaesthesia is an effective, safe and cost-efficient modality of treatment in the management of adult epistaxis.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Anesthesia, Local
  • Balloon Occlusion
  • Cost-Benefit Analysis
  • Diathermy / economics*
  • Diathermy / methods*
  • Endoscopy / economics
  • Epistaxis / economics*
  • Epistaxis / therapy*
  • Female
  • Humans
  • Ligation / methods
  • Male
  • Middle Aged
  • Prospective Studies
  • United Kingdom