Surgical treatment of nasal packing refractory epistaxis

Abstract

cod. 5667 high risk such as post operative bleeding and coagulopathies, may decrease the need of blood transfusion.

Surgical treatment of severe epistaxis: an eleven-year experience

“…The ninety-eight surgical patients enrolled in this study represent a significant series when compared to other papers in the literature 2 , 3 , 6 , 11 , 12 . Patients with severe epistaxis are usually between the third and eighth decade of life, and the most numerous age group comprehends subjects in their seventies and eighties 2 , 3 , 6 , 8 .…”

Epidemiological Profile of Otorhinolaryngological Emergencies at a Medical College, in Rural Area of Gujarat

“…Epistaxis has been reported as the commonest cause of ENT admission along with peri-tonsillar abscess and sudden hearing loss (Timsit et al [10]). According to literature, local trauma is the main cause of epistaxis [8]. Prompt management of epistaxis is important for hemodynamic stability of already compromised patient attending TEC.…”

“…These patients did not respond to nasal packing and were shifted immediately to operation theatres. Rabelo et al [8] conducted a study on nasal packing refractory epistaxis and have reported that surgery to manage epistaxis is highly effective, safe and presents low complication rates. In our set up, use of bipolar cautery is practiced more commonly than clipping/ ligation, though it must be mentioned that no literature is available stating either of them is better than the other, as per the Rabelo et al study [8].…”

“…On the contrary, study done in 1992 at Safdarjung, New Delhi by Malhotra et al [7] reported that most of the ENT emergencies are trivial and require treatment but no admission. According to Rabelo et al [8] in 2009 post-operative nasal hemorrhage was the most common cause for epistaxis primarily as most of these patients were not referred to ENT service but managed by trauma teams.…”

“…The literature available in the same direction consists of various lacunae [1][2][3][4][5][6][7][8][9][10][11][12][13] viz. a) Head and neck trauma is considered one of the most challenging areas in traumatology [9].…”