Epistaxis Management | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 5, Volume 26, Issue 1, January 2007, Pages 55-62 PDF (292.05 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2007.17780 | ||
| Authors | ||
| Hesham A. Abdesallam; Ali K. Mahrous; Abdelsalam H. Hashim | ||
| Otolaryngology/ Head and Neck Surgery Department, | ||
| Abstract | ||
| Introduction: Epistaxis is common and has been reported to occur in up to 60 percent of the general population. The affected person usually does not seek medical attention, particularly if the bleeding is minor or self-limited. In rare cases, however, massive nasal bleeding can lead to death. The nose has an abundant blood supply. The arterial supply to the nose comes from carotid arteries. Nasal bleeding usually responds to first-aid measures. When epistaxis does not respond to simple measures, the source of the bleeding should be located and treated appropriately. There is no unanimity amongst Otorhinolaryngologists in terms of the sequence of different treatment methods in Epistaxis patients. We aimed in this study to examine our existing practice in terms of management of epistaxis, and to try to come up with suggestions of sequential treatment steps. This is a retrospective study conducted from November 2004 to January 2005 in the Otolaryngology Department in Midway Maritime Hospital. Subjects and Methods: The study group consisted of 100 case notes requested. The demographic data of the patients were collected and the history of epistaxis in each patient. Results: The study showed the peak of incidence of epistaxis (66%) was in adults (51 – 91 years old). No sex predilection. It was mostly spontaneous. 60% of the patients presented for the first time. 63% of the patients have co-morbid conditions. 60% of the patients needed hospital admission. The patients were treated with different measures. Conclusion: We concluded that the cases of epistaxis caused by trauma in our series is far less than expected. Co-morbidity plays a major role in the causation of epistaxis according to this study. We recommend the use of chemical cautery, merocele or both as the first line of local treatment of epistaxis. If it does not work, Rapid Rhino with or without anterior packing should be considered. If this does not work, then sphenopalatine artery ligation is the next step. | ||
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