Journal of AdvancedMedical and Dental Sciences Research

Background: Epistaxis is classified as anterior or posterior depending upon the primary bleeding site and is thought to be more common in males. The present study compared microwave ablation versus bipolar electrocautery in patients with idiopathic epistaxis. Materials & Methods: 50 patients with idiopathic recurrent epistaxis of both genders were randomly divided into 2 groups of 25 each. Group I was MWA group and group II was bipolar electrocautery group. Duration of bleeding, site of bleeding and the bleeding sites were assessed. Results: Bleeding site was Kiesselbach’s area seen in 2 in group I and 3 in group II, olfactory cleft 7 in group I and 8 in group II, middle and posterior nasal septum 8 in group I and 5 in group II, middle meatus region 6 in group I and 6 in group II, inferior meatus region 1 group I and 2 in group II and others 1 each in group I and II. Time to achieve successful hemostasis was 2.5 minutes in group I and 4.3 in group II. VAS on day 1 was 2.7 in group I and 4.5 in group II and on day 2 was 0.91 in group I and 2.1 in group II. Recurrent bleeding was seen in 3 in group I and 5 in group II. The difference was significant (P< 0.05). Conclusion: Microwave ablation is a favorable treatment option for patients with idiopathic recurrent epistaxis.