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Epistaxis (Nosebleed)

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14 Treatment Table 4. Nasal Packing Options Resorbable Packing Materials Surgicel ® (Ethicon) Oxidized regenerated cellulose Surgiflo ® (Ethicon) Hemostatic gelatin thrombin matrices Floseal ® (Baxter) Hemostatic gelatin thrombin matrices Nasopore ® (Stryker) Synthetic polyurethane sponge HemoPore ® (Stryker) Synthetic polyurethane sponge with chitosan lactate Posisep ® (Hemostasis) Chitosan based polymers Gelfoam ® (Pfizer) Purified porcine skin, and Gelatin USP Granules Merogel (Medtronic) Hyaluronic acid Nasastent (Smith and Nephew) Carboxymethylcellulose Sinu-foam (Smith and Nephew) Carboxymethylcellulose Nonresorbable Packing Materials Gauze packing strip (NuGauze [Kendall] or similar) Non-adherent gauze (Adaptic [ Johnson and Johnson], vaseline impregnated gauze, other) Foley urinary catheters Merocel ® (Medtronic) Polyvinyl acetate sponge Rhino Rocket ® (Shippert) Polyvinyl acetate sponge with applicator Rapid Rhino ® (Smith and Nephew) Inflatable balloon and hydrocolloid fabric Epi Max ® (Boston Medical) Inflatable two-balloon catheter Epi Stop ® (Boston Medical) Inflatable one-balloon catheter EpiStax ® (Summit Medical) Inflatable two-balloon catheter Post-stop ® (Boston Medical) Balloon epistaxis catheter with a suction/ irrigation port Epistat ® (Medtronic) Inflatable two-balloon catheter

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