Head and Neck Q18

Adenoidectomy is performed on a 5-year-old girl for symptomatic adenoid hypertrophy (persistent otitis media with effusion, sleep apnoea, hyponasal voice). Shortly following the operation, the patient begins to bleed profusely from the nose and has a rising pulse rate.

What is the most appropriate management option?

  • A) Return to theatre
  • B) Antibiotics
  • C) Cautery of Little’s area
  • D) Direct Compression for 10-15 minutes
  • E) Anterior nasal packing