Conservative management of epistaxis

Abstract

A retrospective study to assess the clinical usefulness of non-surgical management of epistaxis was performed on 340 patients requiring hospitalisation at the ENT Department of La Paz Hospital (Madrid). The previous history, type of management, hospitalisation time, and volume of transfusion were considered. Nasal packing was employed in 94.1 per cent of the patients. Most patients (82.9 per cent) were hospitalised less than seven days, and 84.1 per cent of the patients required no transfusion. There was one death. This study supports the clinical usefulness of conservative management in the treatment of patients with epistaxis.

Internal carotid artery aneurysms presenting with epistaxis - our experience and review of literature

“…Epistaxis is a common ailment and is estimated that 7-60% of the population experiences an episode of epistaxis during their lifetime (19). However it is usually only mild and does not require medical attention, and only 6% of patients with epistaxis will require medical help (20).…”

Pattern Of Epistaxis And Its Treatment Modalities: The Hyderabad Experience

“…9 In the presence of existing nasal pathologies, with recurrent episodes of persistent and intractable bleeding when the traditional method fails to control, surgery becomes the choice to remove the cause. 10,11 In this series, septal surgery was done in 15 cases. Infected nasal polyps were removed in 15 cases, rhinolith in 15, and small foreign bodies from nasal cavity were removed in 25 cases.…”

Profound anaemia in an elderly man

“…In 340 patients with epistaxis, blood transfusion was needed in 10.3% but only 0.9% needed more than 800 ml of blood. 5 Duodenal ulceration is a well recognised association of HHT. '3 In addition, patients with HHT may have other gastrointestinal lesions, in common with the rest of the population.…”