Efficacy and Safety of Simultaneous Bilateral Nasal Cauterization in Pediatric Recurrent Anterior Epistaxis: A Prospective Randomized Controlled Trial

< .001). Significant differences were observed in VAS scores for nasal crusting across the three groups at all follow-up points; however, no significant difference was detected between SNC and RFC. In contrast, septal perforation was observed in 5.1% of BEC patients, with mucosal necrosis in 6.4% of treated nostrils. In the RFC group, septal perforation developed in 2.9% of patients.ConclusionRFC demonstrated higher hemostatic success and lower recurrence of epistaxis compared with SNC and BEC in the treatment of bilateral RAE, while bilateral cross-cauterization with RFC should still be used with caution given the incidence of septal perforation. Additionally, stepwise cauterization with BEC (treating each side after healing of the opposite side) should be considered when managing pediatric bilateral RAE.