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Consent Form Ear Nose & Throat INFORMED CONSENT FOR NASAL AND SINUS ENDOSCOPY AND CAUTERY OF NOSEBLEED DO NOT SIGN THIS FORM UNTIL YOU HAVE READ IT AND FULLY UNDERSTAND ITS CONTENTS PATIENTS NAME.

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Cautery is a very effective technique for treating persistant nose bleeds. During the procedure, the chemical applied to the vessels created a scab that may initially appear dark grey. It is important to protect this area from trauma and to let it heal, as disturbing it may cause further bleeding.

Nose cautery can help prevent nosebleeds. The doctor uses a chemical swab or an electric current to cauterize the inside of the nose. This seals the blood vessels and builds scar tissue to help prevent more bleeding. For this procedure, your doctor made the inside of your nose numb.

Risks Failure to stop epistaxis / Need for multiple procedures. Nasal septal perforation. Skin staining from Silver Nitrate (Temporary). Nasal Adhesions.

Nasal cautery is a type of surgery (operation) to treat nose bleeds. It involves using electricity to seal blood vessels in the nose that bleed regularly.

Reserve 31238 for Scope-Necessary Cautery You should report 31238 (Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage) when the physician can't stop the bleeding without the endoscope.

Typically, children benefit from nasal cautery when they have recurrent nosebleeds. These episodes can occur from a prominent blood vessel in the nose that bleeds from trauma (nose picking, rubbing nose, or bumping nose), from drying (dessication) of the mucous membranes lining the nose, or from another reason.

Follow up With Your Doctor Let your doctor know if you continue to experience nosebleeds or if you aren't healing as expected. Contact them right away if you have a fever, experience excessive bleeding or have pain that doesn't improve with medication.

Nose care Don't touch the part of your nose that was treated. Try not to bump your nose. To avoid irritating your nose, do not blow your nose for 2 weeks. ... If you get another nosebleed: ... Apply antibacterial ointment or saline nasal spray to the inside of your nose several times a day after your procedure.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232