Epistaxis: Management and prevention

Mcdevitt, Thomas J.; Goh, Albert S.; Acquarelli, Mario J.

doi:10.1288/00005537-196707000-00003

Cited by 7 publications

(4 citation statements)

References 3 publications

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“…Nasal trauma cases account for 37.50% and most common local cause in this study was road traffic accident. The similar result was obtained by McDevitt (1967), (18) who found trauma as the commonest cause (43%). Among the trauma group, nose picking was 75% of traumatic causes observed by Razdan et al (1999).…”

Section: Discussionsupporting

confidence: 89%

Evaluation of Local Causes of Epistaxis and Its Management Outcome in a Tertiary Care Hospital

Tripura¹,

Reang²,

Jain³

2018

jemds

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BACKGROUND Epistaxis is a very common problem. It may be a symptom of minor or serious ailments with underlying local or systemic causes. The objectives of this study are to evaluate various local causes of epistaxis and its management outcome. MATERIALS AND METHODS A descriptive study was conducted among 120 patients who presented with epistaxis of local causes. Individual sampling unit was selected using convenience sampling technique. Nasal pinching, anterior nasal packing and posterior nasal packing were performed in conservative management. Electrocauterisation, septal surgery, nasopharyngeal surgery and endoscopic arterial ligation were considered in surgical intervention. Descriptive statistics like proportion, mean and standard deviation were calculated. For inferential statistics, Chi-square test was performed wherever applicable. RESULTS Males were more compared to females with a male and female ratio of 1.2: 1. The number of patients were more in winter and autumn; and low during monsoon season. On rhinoscopic examination 53.33% cases had bleeding from the septum, out of which 81.25% was from anterior part and 18.75% was from posterior part of the septum. Most of the nasal trauma was due to road traffic accident. Hippocratic method was performed with a success rate of 80% to control bleeding. CONCLUSION Traumatic epistaxis was the most common local cause of epistaxis. Cold, dry and low humidity may lead to higher incidence of epistaxis in the winter season. The incidence of epistaxis was higher in young adults and middle-aged people. The anterior nasal packing had more convenient and higher control among all the conservative measures.

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Section: Discussionsupporting

confidence: 89%

Evaluation of Local Causes of Epistaxis and Its Management Outcome in a Tertiary Care Hospital

Tripura¹,

Reang²,

Jain³

2018

jemds

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“…Abnormal platelet function is present in many patients with HHT (4,134,135). Also, a poorly defined defect in the fibrinolytic system may occur (136,3 ). Of major importance, and often unappreciated, is an associated DIC syndrome.…”

Section: Pseudoxanthoma Elasticummentioning

confidence: 99%

State-of-the-Art Review: Vascular Thrombohemorrhagic Disorders: Hereditary and Acquired

Bick¹

2001

Clin Appl Thromb Hemost

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This review has summarized the more important diseases that may be accompanied by or lead to a disorder of hemostasis or thrombosis via alterations of the vasculature. It is to be stressed that the vascular component of hemostasis is often overlooked by clinicians caring for patients with disorders of hemostasis and thrombosis. It should be appreciated that the vasculature is intricately related to the coagulation protein system and to platelets when involved in thrombohemorrhagic diatheses. Although many vascular disorders may lead to hemorrhage or thrombosis, it must be appreciated that often it is impossible to discern between a primary vascular defect/damage and a defect that has been induced by platelet activation/dysfunction or procoagulant abnormalities.

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“…Abnormal platelet function has been noted in many patients with HHT [6,53]. In addition, a poorly defined defect in the fibrinolytic system may occur in these patients [38,57]. Of major importance, and previously unrecognized, is that many patients with HHT have an associated classic disseminated intravascular coagulation type syndrome.…”

Section: G Hereditary Hemorrhagic Telangiectasia (Osler-weber-rendu mentioning

confidence: 99%

Vascular Disorders Associated with Thrombohemorrhagic Phenomena

Bick¹

2008

Semin Thromb Hemost

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Epistaxis: Management and prevention

Cited by 7 publications

References 3 publications

Evaluation of Local Causes of Epistaxis and Its Management Outcome in a Tertiary Care Hospital

Evaluation of Local Causes of Epistaxis and Its Management Outcome in a Tertiary Care Hospital

State-of-the-Art Review: Vascular Thrombohemorrhagic Disorders: Hereditary and Acquired

Vascular Disorders Associated with Thrombohemorrhagic Phenomena

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