The use of Silastic nasal splints in the treatment of chronic epistaxis and nasal septal ulceration

Ausama Alaani, FRCSEd, FRCSI;
Patrick Jassar, FRCS (ORL-HNS);
Ian Smith, FRCS (ORL-HNS)

Abstract
Some cases of epistaxis are chronic and resistant to treatment. We describe a novel method of treating persistent epistaxis with Silastic splints. This procedure is simple to perform and reverse, and it is much better tolerated than is total obstruction of the nostrils (Young's procedure). In addition, the presence of the splints reduces the likelihood of digital trauma, which can prevent healing. We describe the case of a 43-year-old man with a 5-year history of persistent epistaxis who was successfully treated with this procedure.