Document Detail

Intranasal corticosteroid injection: indications, technique, and complications.
MedLine Citation:
PMID:  503490     Owner:  NLM     Status:  MEDLINE    
The intranasal injection of corticosteroids for symptomatic relief of nasal obstruction in selected cases has been described by several authors and widely used for over 25 years. Recently, circulated reports of blindness following such injections caused a number of otolaryngologists to discontinue using the procedure. All reported cases of visual complications following intranasal corticosteroid injection are reviewed, together with the reported experiences of the author and others who have successfully used the technique in thousands of cases. Preliminary topical cocainization of nasal mucosa and slow submucosal injection of a micronized corticosteroid suspension to minimize the risk of vasospasm and embolization involving the ophthalmic circulation are stressed. Indications for the procedure, the most common side effects, and the proper technique of injection are described.
R L Mabry
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Otolaryngology and head and neck surgery     Volume:  87     ISSN:  -     ISO Abbreviation:  Otolaryngol. Head Neck Surg.     Publication Date:    1979 Mar-Apr
Date Detail:
Created Date:  1980-01-24     Completed Date:  1980-01-24     Revised Date:  2012-04-25    
Medline Journal Info:
Nlm Unique ID:  7909794     Medline TA:  Otolaryngol Head Neck Surg (1979)     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  207-11     Citation Subset:  IM    
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MeSH Terms
Administration, Intranasal / adverse effects,  methods
Adrenal Cortex Hormones / administration & dosage*,  adverse effects
Airway Obstruction / drug therapy
Cocaine / therapeutic use
Hemorrhage / etiology
Injections / adverse effects,  methods
Rhinitis / drug therapy
Vision Disorders / etiology
Reg. No./Substance:
0/Adrenal Cortex Hormones; 50-36-2/Cocaine

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