Epistaxis management: is medical intervention required for inactive epistaxis?

Ecevit, Mustafa Cenk

doi:10.5606/kbbihtisas.2014.78642

Cited by 3 publications

(4 citation statements)

References 23 publications

(28 reference statements)

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“…As the bleeding point of epistaxis, our data also showed Kiesselbach's plexus as the most commonly observed site, as previously reported [1,2,3,4]. Anterior packing and cauterization were therefore mainly performed.…”

Section: Discussionsupporting

confidence: 67%

“…As shown in some previous reports, the most influential general risk factor in our study was hypertension [1,4,7,11]. Although hypertension itself might not cause epistaxis, the epistaxis accompanying hypertension is difficult to treat once it occurs [7].…”

Section: Discussionmentioning

confidence: 63%

“…In terms of sex, men outnumbered women overall and in each decade of age. Epistaxis is predominantly observed in men and in middle age [1,3,4,5]. …”

Section: Discussionmentioning

confidence: 99%

“…Sudden nasal bleeding is extremely uncomfortable. Approximately 60% of people are thought to experience epistaxis at some stage in life [1,2,3,4]. Outpatient therapy is usually sufficient to arrest hemorrhage in major cases, such as bleeding from Kiesselbach's plexus [1,2,3,4].…”

Section: Introductionmentioning

confidence: 99%

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Clinical Study of 1,515 Patients Presenting with Epistaxis Over the Last 6 Years

Yukitatsu

Tsuzuki

Takebayashi

et al. 2016

ORL

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Aim: This study reviews our clinical experience of patients with epistaxis and discusses proper management. Patients and Methods: We retrospectively investigated 1,515 patients with epistaxis treated in our department between 2005 and 2010. Results: Men over 50 years old predominated. More than half of the patients (n = 828) first visited after consultation hours, and 40% (n = 606) were brought by ambulance. The most common underlying diseases were circulatory diseases (69%, n = 1,047). Antithrombotics were being administered to 23% (n = 345). Kiesselbach's plexus was the most commonly observed bleeding site (51%, n = 769). In 20% (n = 297), no bleeding point was confirmed because hemostasis had been achieved on arrival. Anterior packing was the most common primary treatment, followed by electrocauterization. Hospitalization was required in 2% (n = 30). Re-bleeding occurred within 14 days after primary treatment in 14% (n = 206). Surgical treatment was performed for 5% (n = 11). Conclusions: Patients showing repeated pulsatile arterial bleeding require hospitalization for surgical therapy, although outpatient therapy is sufficient in most cases. A risk of re-bleeding should be considered if patients show unclarified bleeding points and circulatory diseases.

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Section: Discussionsupporting

confidence: 67%

Section: Discussionmentioning

confidence: 63%

“…In terms of sex, men outnumbered women overall and in each decade of age. Epistaxis is predominantly observed in men and in middle age [1,3,4,5]. …”

Section: Discussionmentioning

confidence: 99%