ISSN: 2149-2247 | E-ISSN: 2149-2549
Unrevealed Cause of Intraoperative Nasal Bleeding: Rhinitis Medicamentosa [Erciyes Med J]
Erciyes Med J. 2021; 43(3): 300-302 | DOI: 10.14744/etd.2020.43077

Unrevealed Cause of Intraoperative Nasal Bleeding: Rhinitis Medicamentosa

Boon Chin Te1, Hafizah Husna Johari2, Aneeza Hamizan1
1Department of Otorhinolaryngology, Head and Neck Surgery, University Kebangsaan, Malaysia
2Department of Otorhinolaryngology, Hospital Sultanah Bahiyah, Alor Setar, Malaysia

Background: Oxymetazoline can be used as one of the methods to stop epistaxis. However, it can cause unexpected profuse intraoperative nasal bleeding. The fast–acting mechanism and usually effective decongestion effect of the medication cause patient with rhinitis misuse it. Long duration of usage of the nasal vasoconstrictors can lead to rhinitis medicamentosa.
Case Report: We would like to discuss a case of a 28–year–old lady with rhinitis medicamentosa due to prolonged misuse of oxymetazoline nasal spray who underwent nasal surgery and had unexpected profuse intraoperative bleeding.
Conclusion: It is important to stop the topical decongestant and maximize medical treatment for rhinitis medicamentosa before any nasal surgery.

Keywords: Epistaxis, oxymetazoline, rhinitis.

Boon Chin Te, Hafizah Husna Johari, Aneeza Hamizan. Unrevealed Cause of Intraoperative Nasal Bleeding: Rhinitis Medicamentosa. Erciyes Med J. 2021; 43(3): 300-302

Corresponding Author: Boon Chin Te, Malaysia
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