Adrenaline Nasal Pack vs Xylometazoline Nasal Drops During Nasotracheal Intubation

This study is comparing two medications used to shrink the nasal lining before passing a breathing tube through the nose during surgery — adrenaline-soaked nasal packs versus xylometazoline nasal drops — to see which reduces nosebleeds and discomfort more effectively. **You may be eligible if...** - You are between 18 and 60 years old - You are having planned (elective) jaw or facial surgery that requires nasal intubation (breathing tube through the nose) - You are in generally good health (ASA Class 1 or 2) - You have a normal airway (Mallampati score 1 or 2) **You may NOT be eligible if...** - You have a history of nasal surgery, trauma, polyps, or blockage - You have repeated nosebleeds - You take blood thinners - You have uncontrolled high blood pressure, diabetes, or a history of heart or stroke events - You are pregnant Talk to your doctor to see if this trial is right for you.