Epistaxis: anatomical and clinical correlates

Padgham, N. D.

doi:10.1017/s0022215100112563

Cited by 49 publications

(43 citation statements)

References 5 publications

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“…1,5 The incidence of neoplasm in this study is this study is 6% when compared to 2% reported by Nigel Padgham. 15 No vascular mass like nasopharyngeal angiofibroma was reported in this study. Thaha 14 in his study reported 8.3% abnormal coagulation profile.…”

Section: Discussionmentioning

confidence: 57%

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Epistaxis: An Aetioclinicopathological Study in Hospitalised Patients

Raman¹

2016

jemds

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OBJECTIVETo find out the aetioclinicopathological features of epistaxis in hospitalised patients. SETTINGS AND DESIGN METHODAll 50 patients were subjected to detailed clinical examination, routine and relevant blood examinations, X-ray PNS, X-ray nasal bone-lateral view and DNE-Diagnostic Nasal Endoscopy. CT-PNS and MRI were taken depending on suspected causes. Patients were treated according to their causes using non-surgical and surgical methods. Patients were followed up for 6 months. RESULTAnalysis found that most common group affected is patients at the age of 51-60, and the most common cause found was hypertension. CONCLUSIONEpistaxis is one of the common emergencies in ENT practice, caused by simple and serious causes. So it should be treated with utmost importance and care depending upon the situation.

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Section: Discussionmentioning

confidence: 57%

“…This male predominance is similar to that reported by Safaya. 12 Study by Nighel Padgham, 15 Monux 2 et al also shows a male predominance. Age wise distribution in the study shows peak incidence between 51-60 years [28%].…”

Section: Discussionmentioning

confidence: 96%

Epistaxis: An Aetioclinicopathological Study in Hospitalised Patients

Raman¹

2016

jemds

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“…Padgham showed that medical treatment is the most effective treatment for children with nasal bleed. 14 In severe posterior epistaxis, Foley's catheter is a very good option for posterior nasal packing. From our observation, endoscopic coagulation of the sphenopalatine artery, is a simple and alternative method of controlling posterior epistaxis.…”

Section: Discussionmentioning

confidence: 99%

Epistaxis: etiological profile and treatment outcome in a teaching hospital in South India

Basheer

Jaya

Sabir

2017

Int J Otorhinolaryngol Head Neck Surg

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Background: Epistaxis is the most common otorhinolaryngological emergency worldwide. Minor bleeding episodes occur more frequently in children and adolescents, whereas severe bleed requiring otolaryngologic intervention often occur in older individuals. Treatment options can be conservative or surgical, the selection of which should be made considering the parameters: efficiency, complications, and cost-benefit. Methods: This was a prospective study done in 131 patients with epistaxis, in the Department of ENT, Government Medical College, Trivandrum, with the aim to determine the etiology and the outcome of the conservative and surgical management. Results: The most common causes of epistaxis were trauma and hypertension. The age incidence increased after forty years and majority had unilateral, anterior nasal, mild-moderate bleed. 79% of the cases were managed by conservative measures as opposed to only 21% who required surgical intervention. Success rate of anterior nasal pack and cauterisation of bleeding point was nearly 84%. Conclusions: Majority of cases of epistaxis can be successfully managed by conservative measures and surgical intervention may not be necessary in most cases. Cauterization of bleeding point is the best conservative method which can be offered to the patient though anterior nasal packing still remains the most preferred method to control the bleed. The most common causes of epistaxis being trauma and hypertension, reducing road traffic accidents and lifestyle illness can reduce the incidence of nasal bleed.

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“…The peak presentation is the sixth decade with male dominance [4]. Adult pattern primary epistaxis is associated with the regular use of nonsteroidal antiinflammatory drugs, chronic alcohol consumption and hypertension.…”

Section: Discussionmentioning

confidence: 99%

Waldenstrom Macroglobulinemia Presenting as Isolated Persistent Epistaxis: A Very Rare Presentation

Agarwal

Varshney

Bist

et al. 2012

Indian J Otolaryngol Head Neck Surg

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Nose bleed is the most common rhinological emergency. There are multiple risk factors for the development of epistaxis and it can affect any age group, but it is the elderly population with their associated morbidity who often require more intensive treatment and subsequent admission. Most cases of epistaxis occur in the Little's area, a location readily accessible and treatable by cautery or anterior nasal packing. However, posterior epistaxis often requires more aggressive measures including posterior nasal packing and endoscopic cauterization. After posterior nasal packing, the two most common therapies for intractable epistaxis are transantral ligation of the internal maxillary artery and percutaneous embolization of the distal internal maxillary artery. However, optimal management of intractable posterior epistaxis remains controversial. We hereby report fourth case of Waldenstrom Macroglobulinemia in English literature, which presented as isolated persistent epistaxis and was treated by therapeutic plasmapheresis.

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Epistaxis: anatomical and clinical correlates

Cited by 49 publications

References 5 publications

Epistaxis: An Aetioclinicopathological Study in Hospitalised Patients

Epistaxis: An Aetioclinicopathological Study in Hospitalised Patients

Epistaxis: etiological profile and treatment outcome in a teaching hospital in South India

Waldenstrom Macroglobulinemia Presenting as Isolated Persistent Epistaxis: A Very Rare Presentation

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