Unrevealed Cause of Intraoperative Nasal Bleeding:Rhinitis Medicamentosa

Abstract

Background: Oxymetazoline can be used as one of the methods to stop epistaxis. However, it can cause unexpected pro fuse intraoperative nasal bleeding. The fast–acting mechanism and usually effective decongestion effect of the medicationcause patient with rhinitis misuse it. Long duration of usage of the nasal vasoconstrictors can lead to rhinitis medicamentosa. Case Report: We would like to discuss a case of a 28–year–old lady with rhinitis medicamentosa due to prolonged misuseof oxymetazoline nasal spray who underwent nasal surgery and had unexpected profuse intraoperative bleeding. Conclusion: It is important to stop the topical decongestant and maximize medical treatment for rhinitis medicamentosabefore any nasal surgery.