The aim of this study is to compare the outcomes of coblation technique versus bipolar technique in management of RAE in children regarding the following:
1. Efficacy of each method to stop bleeding. 2. Technical feasibility. 3. Mucosal healing and crust formation. 4. Post operative complications like: synechia formation and septal perforation. 5. Nostril stenosis/ atresia.
A history of repeated unilateral epistaxis with at least four episodes, at least one episode per week during the preceding 4 weeks.
Age > 5 years of age and < 18 years of age.
Failure of topical treatment with an antiseptic ointment, with or without silver nitrate cautery.
A Katsanis epistaxis scoring system (ESS) score of 7-10.
Patients < 5 years of age and >= 18 years of age.
Patients with bilateral epistaxis.
Patients with bleeding tendencies like: Hemophilia, Leukemia, Idiopathic thrombocytopenic purpura, Von Willebrand disease and Thrombasthenia.
Patients with previous nasal surgeries.