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Case Reports in Otolaryngology
Volume 2013, Article ID 851270, 2 pages
Case Report

Gelatin-Thrombin Matrix: A New and Simple Way to Manage Recurrent Epistaxis in Hematology Units

1Service d’ORL, CH Valence, 179 boulevard du Maréchal Juin, 26000 Valence, France
2Service d’ORL et Chirurgie Cervicofaciale, Hôpital de la Croix-Rousse, Hospices Civils de Lyon, 103 Grande rue de la Croix-Rousse, 69004 Lyon, France
3Service de Médecine Interne et Oncologie, HIA Desgenettes, 108 Boulevard Pinel, 69003 Lyon, France

Received 21 April 2013; Accepted 13 May 2013

Academic Editors: Y. Baba, M. Berlucchi, and A. Rapoport

Copyright © 2013 G. Buiret et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Introduction. In case of thrombopenia and/or thrombopathy, epistaxes are very difficult to manage. Case Series. Two patients, one with a thrombocytopenia, the other with a thrombopathy, were hospitalized because of repeated active epistaxes after failure of packing. Both patients were successfully treated with an application of Surgiflo without side effects and left the hospital without recurrence of epistaxis. Discussion. Being a subject of many studies dealing with epistaxis, Surgiflo is a simple treatment that seems to be very effective and without side effects to treat acute epistaxis in fragile patients with coagulation disorders. Prospective studies of tolerance and efficiency in such situations should be performed.