A RATIONALE FOR THE SELECTION OF NASAL DECONGESTANTS IN LACRIMAL DRAINAGE SURGERY

HOSAL B., HOSAL S., HURWITZ J., FREEMAN J.

OPHTHALMIC PLASTIC AND RECONSTRUCTIVE SURGERY, cilt.11, sa.3, ss.215-220, 1995 (SCI-Expanded, Scopus) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 11 Sayı: 3
  • Basım Tarihi: 1995
  • Doi Numarası: 10.1097/00002341-199509000-00009
  • Dergi Adı: OPHTHALMIC PLASTIC AND RECONSTRUCTIVE SURGERY
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.215-220
  • Anahtar Kelimeler: TROPICAL NASAL DECONGESTANTS, COCAINE, OXYMETAZOLINE, XYLOMETAZOLINE, HEMOSTASIS, NASOLACRIMAL SURGERY
  • Ankara Üniversitesi Adresli: Hayır

Özet

Adequate hemostasis during lacrimal drainage surgery affects the success of the operation. Nasal decongestants, which are sympathomimetic agents including sympathomimetic amines and imidazoline derivatives, help to decrease bleeding. Certain of the imidazoline derivatives-oxymetazoline and xylometazoline-are potent and long-acting agents that have many of the same adrenergic effects as cocaine. Their use as an alternative to cocaine provide adequate hemostasis with less adverse reactions than cocaine. The authors recommend premedication of the nasal mucosa with oxymetazoline or xylometazoline before lacrimal drainage surgery for obtaining maximal nasal mucosal decongestion.