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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Recurring Epistaxis In A Patient With Orofacial Cleft?

My son is 22, and has a reconstructed cleft lip/palate. A few days ago he got a heavy nosebleed that would not stop for 12 hours, when we finally went to the ER, where they unsuccessfully tried to cauterize it, then he ended up needed a rhino rocket... so uncomfortable! I have 2 questions: could the nosebleed be related to his cleft, and are there any special concerns when using a rhino rocket on a person who has had a repaired cleft? Also, we need to see an ENT to have it removed... would any ENT be appropriate, or should we try to see an ENT with cleft experience?
Mon, 28 Jan 2019
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General Surgeon 's  Response
Hello,

As a first line management drugs like tranexamic acid can be taken.

If symptoms persist better to consult an ENT specialist and get evaluated.

A CT scan is required for further assessment.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Shinas Hussain,
General & Family Physician
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What Causes Recurring Epistaxis In A Patient With Orofacial Cleft?

Hello, As a first line management drugs like tranexamic acid can be taken. If symptoms persist better to consult an ENT specialist and get evaluated. A CT scan is required for further assessment. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician