Nasal Cauterization: Procedure, Pain Management, and Recovery

Procedure

Performed for recurrent epistaxis (nosebleeds). After topical anesthesia (lidocaine/phenylephrine spray), the bleeding vessel is identified and sealed using:

• Chemical: Silver nitrate stick (most common)
• Electrocautery: Bipolar forceps (more precise, less tissue damage)

Pain and Discomfort

• Topical anesthetic minimizes pain during procedure.
• Brief stinging/burning sensation possible with silver nitrate.
• Post-procedure: mild soreness, crusting, congestion for 3–7 days.

Aftercare

• Saline nasal spray/gel 4–6×/day to prevent crusting
• Avoid nose blowing, picking, heavy lifting, straining for 1 week
• OTC analgesics (acetaminophen) as needed
• Humidifier at bedside

Complications (Rare)

• Septal perforation (if both sides cauterized simultaneously)
• Infection
• Recurrent bleeding
• Scarring/synechiae

Most patients tolerate the procedure well with minimal downtime. Follow up if bleeding recurs or signs of infection appear.