Importance of nasal endoscopy for the evaluation of epistaxis

Ray, Ritam; Mukherjee, Manoj; Dutta, Manotosh; Neogi, Mousumi; Gayen, Ganesh Chandra

doi:10.3329/bjo.v18i1.10408

Cited by 2 publications

(3 citation statements)

References 3 publications

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“…The nasal endoscope has been a boon to the otolaryngologist, since it not only helps in the proper visualization of the bleeding sites, but also offers a direct and an early facility of the treatment to an area that was once difficult to access [3,7,[17][18][19].…”

Section: Discussionmentioning

confidence: 99%

Rigid Nasal Endoscopy in the Diagnosis and Treatment of Epistaxis

Kumar

Prasad²,

Gowda³

2013

JCDR

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Background and Objectives: Epistaxis is one of the common symptoms encountered in the Otorhinolaryngology department. Many times the cause for epistaxis is not found on anterior and posterior rhinoscopy. The present study was undertaken to assess the role of rigid nasal endoscope in the diagnosis and treatment of epistaxis, where normal anterior and posterior rhinoscopy did not reveal any specific finding.Methods: Fifty patients with epistaxis were studied using rigid nasal endoscope under local anaesthesia. Patients who were above 15 years with nasal bleeding and who were willing for rigid nasal endoscopy were included in the study. Patients less than 15 years were not included in the study because nasal endoscopy was difficult in them under local anaesthesia. Only those patients in whom, the cause for epistaxis could not be made out on anterior and posterior rhinoscopy were chosen for the study, this was done in order to remove the bias for nasal endoscopy. Results:The use of the nasal endoscope allowed diagnosis of bleeding points and treating them directly. Epistaxis was more in male patients especially in the 3 rd and after the 5 th decade. On endoscopic examination,the bleeding points were identified as coming from the crevices of the lateral nasal wall, posterior spur on the septum, posterior deviation of the septum with ulcer, congested polyps, enlarged and congested adenoids, scabs or crusts in the crevices of the lateral nasal wall and angiofibroma. Endoscope also helps in the treatment of epistaxis, which includes endoscopic selective nasal packing using gelfoam, endoscopic cautery or diathermy and endoscopic polypectomy. Other patients with adenoids, scabs and crusts and angiofibroma were managed on their merits. Interpretation and Conclusion:Nasal endoscopy helps not only in the localisation of the bleeding point but also in the treatment of those bleeding areas that are situated in the posterior and lateral part of the nose.

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Section: Discussionmentioning

confidence: 99%

Rigid Nasal Endoscopy in the Diagnosis and Treatment of Epistaxis

Kumar

Prasad²,

Gowda³

2013

JCDR

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“…We found that 14 (70 %) patients were male and 6 (30 %) patients were female with male: female ratio of (2,3:1) Gulshan et al, found that the percentage of male patients and female patients were 67.4% and 32.5% respectively with male to female ratio is 2:1 and this goes with our results (6). Ritman Ray et al, found in their study that male patients also outnumbered the female patients with male to female ratio of 2.1:1 (7) This sex difference can be explained by the fact that male patient are more exposed to environmental factors than female patients , and also the higher prevalence of cardiovascular diseases among male patients .…”

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confidence: 88%

“…Out of 20 patients enrolled in our study , we found that 15 patients have certain systemic diseases ,also with antiplateplate or anticoagulant drug intake . Table 4 shows distribution of systemic diseases and drug ingestion in those 15 patients (7).…”

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confidence: 99%

Epistaxis :Retrospective study of hospitalized patient

Alhasani

2021

KMJ

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Epistaxis is a common otolaryngological emergency and is often due to lesions within or around the nose or due systemic conditions Aim of the study: To describe the cases of epistaxis that are admitted at our hospital Study design: Retrospective ,descriptive study Place and time: This is a retrospective study described the cases of epistaxis that are admitted to Al Sader Teaching Hospital ,Najaf-Iraq from January 2009 to December 2011. Patients and method: The study evaluated 20 cases of epistaxis that were admitted in Al-Sader Teaching Medical City in Najaf –Iraq from the period of January 2009 to December 2012 . The hospital records of the patients were reviewed and data collected regarding .age ,gender, type of epistaxis , methods of treatments, any associated systemic disease(s) and the time of hospital stay . These variables were collected , tabulated , analyzed and compared with other similar studies, The results: Twenty cases of epistaxis that required admission to Al-Sader Medical city were enrolled in our study. We found that epistaxis has bimodal age of presentation with 8 (40%) patients at age 20-29 year and 8(40%) patients at age of 60- 69year. Male to female ratio was (2.3:1). Anterior epistaxis was more common than posterior epistaxis.15 patients (75 %) had some sort of systemic diseases; the most common was hypertension in 8 (40%) patients. Non surgical method of treatment in the form of nasal packing was performed in all patients. The mean hospital stay was (3.85) days. NO mortality detected in our study.

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Importance of nasal endoscopy for the evaluation of epistaxis

Cited by 2 publications

References 3 publications

Rigid Nasal Endoscopy in the Diagnosis and Treatment of Epistaxis

Rigid Nasal Endoscopy in the Diagnosis and Treatment of Epistaxis

Epistaxis :Retrospective study of hospitalized patient

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