caa a22 4500 606185356 CHVBK 20210128100831.0 cr unu---uuuuu 210128e20151001xx s 000 0 eng 10.1007/s00405-015-3529-5 doi (NATIONALLICENCE)springer-10.1007/s00405-015-3529-5 Complications of balloon packing in epistaxis [Elektronische Daten] [Lenka Vermeeren, Wynia Derks, Wytske Fokkens, Dirk-Jan Menger] Although balloon packing appears to be efficient to control epistaxis, severe local complications can occur. We describe four patients with local lesions after balloon packing. Prolonged balloon packing can cause damage to nasal mucosa, septum and alar skin (nasal mucosa, the cartilaginous skeleton and the overlying soft-tissue envelope) and should, therefore, be avoided. We suggest early nasendoscopy in general anesthesia to identify and treat the bleeding focus, if bleeding cannot be controlled with regular packing. Springer-Verlag Berlin Heidelberg, 2015 Epistaxis nationallicence Packing nationallicence Balloon packing nationallicence Vermeeren Lenka Department of Otolaryngology, Academic Medical Center, Postbus 22660, 1100 DD, Amsterdam, The Netherlands aut Derks Wynia Department of Otolaryngology, Onze Lieve Vrouwe Gasthuis, Postbus 95500, 1090 HM, Amsterdam, The Netherlands aut Fokkens Wytske Department of Otolaryngology, Academic Medical Center, Postbus 22660, 1100 DD, Amsterdam, The Netherlands aut Menger Dirk-Jan Department of Otolaryngology, Onze Lieve Vrouwe Gasthuis, Postbus 95500, 1090 HM, Amsterdam, The Netherlands aut European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/10(2015-10-01), 3077-3081 0937-4477 272:10<3077 2015 272 405 https://doi.org/10.1007/s00405-015-3529-5 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00405-015-3529-5 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Vermeeren Lenka Department of Otolaryngology, Academic Medical Center, Postbus 22660, 1100 DD, Amsterdam, The Netherlands aut NATIONALLICENCE 700 1- Derks Wynia Department of Otolaryngology, Onze Lieve Vrouwe Gasthuis, Postbus 95500, 1090 HM, Amsterdam, The Netherlands aut NATIONALLICENCE 700 1- Fokkens Wytske Department of Otolaryngology, Academic Medical Center, Postbus 22660, 1100 DD, Amsterdam, The Netherlands aut NATIONALLICENCE 700 1- Menger Dirk-Jan Department of Otolaryngology, Onze Lieve Vrouwe Gasthuis, Postbus 95500, 1090 HM, Amsterdam, The Netherlands aut NATIONALLICENCE 773 0- European Archives of Oto-Rhino-Laryngology Springer Berlin Heidelberg 272/10(2015-10-01), 3077-3081 0937-4477 272:10<3077 2015 272 405