Chemical cautery has an advantage of being carried out in local anesthesia and children can tolerate chemical cautery well10.
Group-A children were treated by chemical cautery of the anterior nasal septum with 75% silver nitrate and group-B children were treated with a readily available vasoconstrictor nasal spray i.e 0.05% xylometazoline along with local oil based antiseptic ointment (Fucidic acid ointment) for one week.
Overall, chemical cautery is very helpful in treating pediatric epistaxis.
Unilateral anterior epistaxiselectrocautery versus chemical cautery. Pak Armed Forcess Med J 2013; 63(3): 408-11.
Conclusion: Electrocautery and chemical cautery with 50% silver nitrate both are equally effective procedures to control anterior epistaxis if the bleeding point is visible and small.
both electrocautery and chemical cautery are used to control bleeding from the nose6.
On registering the patients, detailed history and careful clinical examination was done, the nose was packed initially with local lignocaine and the adrenaline pack for 5 min, electrocautery was done in group A patients and chemical cautery with 50% silver nitrate was done in group B patients.
In this study we selected patients with unilateral anterior epistaxis divided randomly into two groups A and B treated with electrocautery and chemical cautery with 50% silver nitrate respectively.
Although in our study the statistical difference between two groups is not significant enough in terms of controlling anterior epistaxis, however it was observed that the chance of recurrence of bleeding in chemical cautery is still a little more as compared to electrocautery, as 95.6% of the patients in group A were cured successfully in a single visit and only 4.3% had recurrence of bleeding, whereas in group B 91.3% of the patients were cured, and 8.7% of the patients had recurrence of bleeding and had to come again for further treatment.