<p class="abstract">In our day to day otolaryngological practice we encounter many cases, some of which are very rare and worth reporting. We report very rare three cases seen during our practice: presence of tooth in anterior ethamoids causing chronic sinusitis, and NK/T Cell lymphoma (nasal variant) and An accessory submandibular gland. There have been few case reports which mentions about the presence of tooth in maxillary sinus leading to sinusitis but none mentions of presence of the tooth in anterior ethamoids leading to sinusitis. Extranodal NK/T cell lymphoma, nasal variant is a rare and aggressive type of non-Hodgkin’s lymphoma that develops outside the lymphatic system especially in the nose. Accessory submandibular gland is extremely rare. This is the fifth case reported so far worldwide.</p><p class="abstract"> </p>
<p class="abstract"><strong>Background:</strong> Epistaxis can be classified into anterior and posterior epistaxis. All bleeding occurs as a result of disruption of the intact nasal mucosa, whether due to trauma, inflammation, or neoplasm. Management depends on the severity of the bleeding and its underlying cause.</p><p class="abstract"><strong>Methods:</strong> This study was done in department of otorhinolaryngology in a tertiary care centre from September 2018 to December 2020. A total of 143 patients were studies. All patients admitted in our department as a case of epistaxis were analysed for the risk factors present in them which could be the cause of epistaxis.</p><p class="abstract"><strong>Results:</strong> In our study it was seen the risk factor involved in majority of patients was hypertension (70%), followed closely by diabetis mellitis and deranged coagulogram (65%). Chronic kidney disease was an associated risk factor in 64% of patients. All these factors cause microangiopathies which in turn lead to bleeding.</p><p class="abstract"><strong>Conclusions:</strong> The current study can be taken as indirect evidence that while raised blood pressure is seen in patients with severe epistaxis but in general the diseases associated with microangiopathies.</p>
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