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Cauterization
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==Nasal cauterization== Frequent [[nosebleed]]s are most likely caused by an exposed blood vessel in the nose, usually one in [[Kiesselbach's plexus]]. Even if the nose is not bleeding at the time, a physician may cauterize it to prevent future bleeding. Cauterization methods include burning the affected area with acid, hot metal, or lasers. Such a procedure is naturally quite painful. Sometimes, a physician uses [[liquid nitrogen]] as a less painful alternative, though it is less effective. A physician may apply [[Cocaine#Medical|cocaine]] in the few countries that allow it for medical use. Cocaine is the only [[local anesthetic]] that also produces [[vasoconstriction]],<ref>{{cite web|url=http://www.ncemi.org/cse/cse0308.htm|website=ncemi.org|title=3.08 Epistaxis (Nosebleed)|access-date=2014-11-11|archive-url=https://web.archive.org/web/20140904102353/http://www.ncemi.org/cse/cse0308.htm|archive-date=2014-09-04|url-status=dead}}</ref> making it ideal for controlling nosebleeds. More modern treatment applies [[silver nitrate]] after a local anesthetic. The procedure is generally painless, but after the anesthetic wears off, there may be pain for several days, and the nose may run for up to a week after this treatment. Nasal cauterization can cause [[empty nose syndrome]].<ref>{{Cite journal|last=Houser|first=Steven M.|date=2007-09-01|title=Surgical Treatment for Empty Nose Syndrome|journal=Archives of Otolaryngology–Head & Neck Surgery|language=en|volume=133|issue=9|pages=858–863|doi=10.1001/archotol.133.9.858|pmid=17875850|issn=0886-4470|quote = Although total turbinate excision is most frequently the cause of ENS, lesser procedures (eg, submucosal cautery, submucosal resection, cryosurgery) to reduce the turbinates may cause problems as well if performed in an overly aggressive manner.|doi-access=free}}</ref><ref>{{Cite web|url=https://www.ffaair.org/maladies/asthme/syndrome-du-nez-vide-snv/|title=FFAAIR {{!}} Syndrome du Nez Vide (SNV)|website=www.ffaair.org|language=fr-FR|access-date=2019-09-11|quote = à la suite d'interventions endonasales diverses (turbinectomie, turbinoplastie, cautérisation...}}</ref><ref>{{Cite web|url=http://www.ejo.eg.net/article.asp?issn=1012-5574;year=2016;volume=32;issue=3;spage=119;epage=129;aulast=Saafan#ref4|title=Empty nose syndrome: etiopathogenesis and management|last=Saafan|website=www.ejo.eg.net|access-date=2019-09-11|quote = ENS is a complication of middle and/or inferior turbinate surgery, most frequently total turbinate excision, but also with minor procedures such as submucosal cautery, submucosal resection, laser therapy, and cryosurgery if performed in an aggressive manner}}</ref>
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