Epistaxis: Revisited
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ORIGINAL ARTICLE
Epistaxis: Revisited Sandeep Sharma1 • Sadat Qureshi1 • Shalini Jadia1 • Lavi Ukawat1
Received: 9 June 2020 / Accepted: 22 June 2020 Ó Association of Otolaryngologists of India 2020
Abstract To study the age & sex distribution, etiology, formulate most suitable management protocol and evaluate the results of our study and compare our data with similarly published studies to look for any changing trends. All the patients presenting with epistaxis who came to our institute, a tertiary care centre of central India were included in the study. The diagnostic confirmation was done with clinical along with radiological and endoscopic evaluation. Various parameters categorized accordingly. Total 304 patients were included in the study. Epistaxis was found prevalent in 1st to 3rd decade, more common in males, frequently seen in cold, anterior epistaxis more common. Trauma and infection being more common in children and young adults, whereas hypertension in the elderly. Although the treatment of epistaxis hasn’t change much, we found cauterization to be a very efficient and effective method to control epistaxis and required less hospitalization. Keywords Epistaxis Nose bleed Etiology Trauma Management
when it comes as an emergency to an otorhinolaryngologist. There are many references to epistaxis in our literature of history. The most unique thing about epistaxis is that it can be treated just by pinching the ala nasi which is known as the Hippocratic method [2]. Epistaxis is one of the most commonly encountered hemorrhages to an ENT surgeon. About 60% of the public have episode of nasal bleed once in their lifetime while only 6% comes to hospital to get treatment [3].It is perhaps one of the most common cause of emergency admission into the ENT department. It affects all age groups and has two peaks in the age of onset of epistaxis. The condition is common in childhood, becomes less common in early adult life and then peaks in the sixth decade. Children are mainly susceptible to nose bleed due to the rich vascular supply to the nasal mucosa and since they develop more upper respiratory tract infections [4]. Most of the epistaxis patients get relieved just by observation and medical management and do not require admission. The study was done to study the pattern and changing trends in occurrence and management of epistaxis.
Introduction According to Stedman’s medical dictionary, ‘epistaxis’ term means ‘bleeding from the nose’ in which, ‘epi’ means ‘on’ and ‘stazo’ means ‘to fall in drops’ [1]. Although this definition is so simple but it becomes most difficult to treat & Sadat Qureshi [email protected] 1
Department of E.N.T, Peoples Medical College and Research Centre, Bhopal, India
Material and Methods This Observational/Cross Sectional study has been carried out on all patients who presented with epistaxis at a tertiary care hospital of Central India from Nov 2017 to April 2019. A total of 304 patients of both sexes & all age group were taken into the study. Epistaxis resulting from recent s
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