Epistaxis and the nasostat.

The most effective method of treating epistaxis is to identify and cauterize the bleeding vessel. If this cannot be done, other methods must be used. Anterior packs without a choanal plug are not reliable. Gauze posterior packs are traumatic and should not be used. The Foley chatheter with anterior gauze packs is quite satisfactory but the Nasostat, which can also be used with anterior packing when necessary, will, in most cases, control the bleeding without subjecting the patient to the discomfort of nasal packs. In addition, when used properly, it is safe and easily tolerated. The technique and its complications are described.